Fill Our Your New Patient Forms Online | Canales Orthodontics

New Patient Forms

New patients, please join us in making our office greener! We encourage you to fill out your confidential new patient form online before your first visit.

Submit Your Form Electronically

Click the appropriate button below to open the form, fill it out, then click “Submit Form” at the bottom, and your information will be sent to our office with secure encryption.

Download and Print the Form

We strongly encourage you to fill in the form electronically. However, you may also download and print a hard copy to use. Please bring the completed form to your consultation appointment.

Privacy Practices

*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.