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Patient Forms

In these unprecedented times, our COE family is taking extra measures to protect you and your family. Please read the American Association of Orthodontist's (AAO) Supplemental Informed Consent & Health Confirmation in its entirety BEFORE each orthodontic appointment. A signature is not required for each visit.  Agreement will be assumed unless advanced, written notification is provided to the COE Team (

AAO Supplemental Informed Consent & Health Form (PLEASE CLICK HERE)

Please take a minute to fill out your online patient information before your first appointment:

Or print and fill out the patient information form:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC

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

Live. Laugh. Smile.

Shalin Shah, DMD, MS