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  • Our Practice
    • About Our Practice
    • What Sets Us Apart
    • Meet Dr. Sanders
    • Meet Dr. Kim
    • Meet Our Team
    • Patient Testimonials
    • Community Involvement
    • Office Tour
  • Treatment
    • Braces
      • Types of Braces
      • Braces for Kids
      • Braces for Teens
      • Braces for Adults
      • Braces FAQ
      • Payment Calculator
    • Invisalign
      • What Is Invisalign?
      • Invisalign for Teens
      • Invisalign for Adults
      • Invisalign FAQ
      • Payment Calculator
    • Other
      • TADS
      • Palatal Expander
      • Diode Laser Treatment
      • Surgical Orthodontics
      • TMJ-TMD
  • Orthodontics
    • Choosing An Orthodontist
    • Getting Braces Start to Finish
    • Early Orthodontic Treatment
    • Common Orthodontic Issues
    • Types Of Appliances
    • Orthodontic Retention
    • iTero Digital Impression System
    • Orthodontic FAQs
  • Patient Resources
    • Your First Visit
    • Financial Information
    • Payment Plans
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    • Brushing & Flossing
    • Emergency Care
    • Patient Forms
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Patient Forms

Home » Patient Resources » Patient Forms

Please take a minute to print and fill out the patient information forms before your first appointment:

Welcome Letter

Medical/Dental History Form (Printable)

Medical/Dental History Form (Online)

HIPAA Notice of Privacy Practices & Consent Form

Cavity Clearance Form

Forms for Orthodontic Treatment in the Era of COVID-19 

English

  • Supplemental Health Questionnaire

Spanish (Español)

  • Cuestionario de Salud adicional

If you’re unable to open PDF files, you can get Adobe Reader®Â for free.

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Visit one of our convenient office locations.

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(916) 635-5717

  • Rancho Cordova2483 Sunrise Blvd.
    Rancho Cordova, CA 95670
  • Elk Grove7300 Laguna Blvd. Suite 3
    Elk Grove, CA 95758
  • Placerville3171 Washington St. Suite A
    Placerville, CA 95667
  • Dixon2355 North Lincoln St.
    Dixon, CA 95620
  • Roseville2340 Pleasant Grove Blvd. Suite 100
    Roseville, CA 95747

Dixon, CA

Rancho Cordova, CA

Placerville, CA

Elk Grove, CA

Roseville, CA

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About Our Patient Forms

Our patient forms are designed to streamline your initial visit and provide us with important information about your medical and dental history. By completing these forms before your appointment, you can save time in the waiting room and allow us to provide you with the best possible care.

From medical history and consent forms to COVID-19 supplements, we have all the necessary paperwork available for you to download and fill out. If you have any questions about the forms or need assistance, feel free to contact our office and our friendly staff will be happy to help.

Contact Us for a Free Consult

Are you interested in learning more about our orthodontic services and how they can benefit you or your child? Contact us today to schedule a free consultation with one of our experienced orthodontists. During this consultation, we will discuss your treatment options, answer any questions you may have, and help you create a personalized orthodontic plan.

With multiple locations in the Sacramento area, including Rancho Cordova, Elk Grove, Placerville, Dixon, and Roseville, we make it easy for you to access quality orthodontic care. Call or text us at (916) 635-5717 to schedule your free consultation and take the first step towards a healthier, more beautiful smile.