To help us learn more about you as our patient, please print and fill out both forms below and bring them with you to your initial consultation. The privacy notice is for your records.
Privacy Consent Form:
A form that gives Kozak Orthodontics permission to access records on your behalf pertaining to your case. This form is needed on your first visit. download here
New Patient History Form:
This forms helps us get to know you and a little bit about your dental/orthodontic history. It also helps you convey any previous or current problems you have that need to be addressed. To save time you can print and fill this out before you come to your first visit! download here