Patient Information Sheet

To save time for new patients please download and fill out this form before your first visit with us if you wish. If you have any question, feel free to email or call us at any time.

Patient Information Sheet (Spanish)

Para ahorrar tiempo para los nuevos pacientes por favor descargue y rellene este formulario antes de su primera visita con nosotros si lo desea. Si usted tiene cualquier pregunta, no dude en un correo electrónico o llámenos en cualquier momento.

Patient Satisfaction Survey

Did you visit us lately and would like to give us some feedback?

If there is anything you would like us to improve or just want to tell us what you liked, this form would be very helpful for us. We constantly are looking to provide you with the best service possible and strive for perfection. Any feedback is welcome. Please fill out this form and email it back to us.

Dropping Off Braces
When you or you child have completed with our services, please use this form to return the brace(s) back to us.
PT Agreement Form

Patient Treatment Agreement Form for our services. Please note if the service is on hold, it is the responsibility of the patient to contact our office should you want to proceed with the services.

Photo Release Form
The purpose of the photo release form is to secure permission from you (the patient) to publish images in printed work as well as digital media.
HIPPA Release Form

Please fill out this form to allow us to request any health information needed for our services. If you have any questions, please don’t hesitate to call our office.

HIPPA Privacy Notice

Please fill out this form to allow us to request any health information needed for our services. If you have any questions, please don’t hesitate to call our office.

HIPPA Privacy Notice (Spanish)

Por favor, rellene este formulario para permitir nosotros para solicitar cualquier información de salud necesaria para nuestros servicios. Si usted tiene alguna pregunta, por favor no dude en llamar a nuestra oficina.

Parent Information about In-Toeing

Many small children toe-in as they are growing up. It is really part of growing up for many toddlers. For these, there is nothing to worry about; and as they get older it will go away.

Please refer to this article for more information

Orten CAD CAM Care
Important instructions for your Orten Cad Cam TLSO brace. Please read through all instructions carefully and sign the acknowledgement.
Orten CAD CAM Care (Spanish)
Instrucciones importantes para su corsé Orten Cad Cam TLSO. Por favor, lea todas las instrucciones cuidadosamente y firmar el acuse de recibo.
Notice Of Privacy Practices
This summary briefly describes important information contained in our Notice of Privacy Practices. We encourage you to take the time to read the complete Notice, which is attached to this summary.