Patient Forms

For your convenience, you can fill out your new patient forms ahead of time and email them to smile@crescentorthodontics.com. Just follow these simple steps:

  1. On a Desktop Computer or Laptop, download the form for you or your child:
    Child Patient Form (Under 18)
    Adult Patient Form (18+)
  2. Fill out the fields
  3. If you’re using Adobe Acrobat, save the form to your computer, then email it as an attachment to smile@crescentorthodontics.com
  4. If you are using another program to fill out the fields, click on the print icon and save as a pdf to your computer. Then email it as an attachment to smile@crescentorthodontics.com.

If you have any issues, we will be happy to supply you with a form when you arrive at the office.