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PATIENT FORMS



Please help us be prepared for your first appointment by downloading, printing and completing the Patient Information, Medical History, Privacy (HIPAA) form and Acknowledgement.

Please bring them with you to your first appointment

New Patient Information

Medical History

HIPAA Notice of Privacy Practices

Acknowledgement

All forms are in pdf format. To read and print them, you'll need Acrobat Reader, which is available for free download from Adobe.

    

 
Tempe Office: Tipton Orthodontics, 2084 East Southern Avenue Suite #G-101, Tempe, Arizona, 85282 480-838-3437
Gilbert Office: Tipton Orthodontics, 3011 S. Lindsay Rd. #116, Gilbert, Arizona 85295, 480-838-3437


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