New Patient Info Form

Please complete our online Health History Form before your first consulation visit.

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Photo Release/Permission Form

Would you like your photo or special event highlighted on our website or our e-newsletter? If so, we need permission in writing from you(or parent/guardian for minors). Please print out and complete the form and fax it to our office, or bring it with you to your next appointment. You may be our next Wylie Ortho Star!

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