- Central (Colorado Springs)
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Patient Information
Patient Information
Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled.
Patient Forms and Resources
Prior to your appointment, we encourage you to fill out the patient forms that are located below to accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then we recommend you arrive at your appointment 15 – 30 minutes early in order fill out the appropriate forms beforehand.
Patient Forms to Fill Out Prior to Appointment:
- HIPPA Compliance Patient Consent Form
- Patient Medical History Form
- Media Release Consent Form – Optional
- TMJ Questionnaire - TMJ Patients Only
- Orthognathic Surgery Questionnaire - Corrective Jaw Surgery Patients Only
Additional Resources:
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1644 Medical Center Point, Ste 101, Colorado Springs, CO 80907
Call our office at (719) 597-4060.