New Patient Form

Before coming to visit us at Anna Patras Orthodontics, please take a moment to complete the patient form below. Our thorough, complimentary orthodontic consultation takes about an hour in length, so timeliness and the completion of forms in advance can help to make your check-in process much smoother.

Your initial appointment will consist of a full comprehensive exam including photos, a panoramic x-ray and a consultation with Dr. Anna Patras, where she will present your treatment options. We may even be able to get you started the very same day! If you have recently had a panoramic x-ray at another office (within 6-months), please request to have it forwarded to our office.

Please be sure to include all dental insurance information on this form, and bring a copy of your dental insurance card to one of our receptionists when you arrive at our office.

A parent or guardian must accompany all patients under 18 at the consultation visit.

If you are unable to complete this form in advance, don’t worry, simply arrive 15 minutes prior to your scheduled appointment time with our orthodontist to allow adequate time to complete all necessary paperwork. If you have any questions about our dental care in Sparta, New Jersey, or need help with the following form, feel free to contact our office at 973-729-5900

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