Patient Forms2017-11-20T11:27:56+00:00

PATIENT FORMS

Screen Shot 2015-09-29 at 2.51.59 PMWe look forward to meeting you on your first visit to our office. During this time, we will help you get acquainted with our office and learn about your orthodontic or dental treatment. We understand that each patient’s treatment is different, and we promise to give you the personal attention you deserve. Your first visit will consist of an examination and discussion of potential treatment options.

At Wake Orthodontics and Pediatric Dentistry, our team has the skills and the experience to provide all our patient with both orthodontic and pediatric dental care. We utilize a team approach that will last from your child’s first visit at age 1 until they are ready to leave your home and begin their adult lives.

We are proud to be one of the only bi-specialty practices in the state of North Carolina specifically catering to children!

PRINT & COMPLETE PATIENT FORMS

To allow us as much time as possible for your first visit, you may access the following forms to assist us with your care.

Please print and fill out the forms below, then bring them to your appointment.

pediatric dentistry appointments in raleigh NC

request a Pediatric Dentistry appointment online

ORTHODONTIC PATIENT FORMS – CHILD

To allow us as much time as possible for your first visit, you may access the following forms to assist us with your care.

Please print and fill out the forms below, then bring them to your appointment.

ORTHODONTICS PATIENT FORMS – ADULT 

To allow us as much time as possible for your first visit, you may access the following forms to assist us with your care.

Please print and fill out the forms below, then bring them to your appointment.

request a complimentary orthodontic consultation online
ORTHODONTIC PATIENT PORTAL

New Patients

COMPLIMENTARY TEETH WHITENING WITH TREATMENT

You are done with your orthodontic treatment and your smile is RADIANT. Now it’s time to whiten them and show the world your NEW, BEAUTIFUL SMILE!
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