Forms

New Patient Forms – Electronically review and submit here.

Adult Registration (over 18)

Patient Registration – http://tinyurl.com/BOOPatientForm

COVID-19 Patient Screening – https://form.jotform.com/201440902457146

Informed Consent – https://hipaa.jotform.com/201440688722152

HIPAA Privacy Practices – https://form.jotform.com/201440672102137

Orthodontic Insurance Form – https://form.jotform.com/201455140911141


Child Registration (under 18)

Patient Registration – http://tinyurl.com/BOOChildPatientForm

COVID-19 Patient Screening – https://form.jotform.com/201440902457146

Informed Consent – https://hipaa.jotform.com/201440688722152

HIPAA Privacy Practices – https://form.jotform.com/201440672102137

Orthodontic Insurance Form – https://form.jotform.com/201455140911141


Additional Practice Forms

Invisalign Treatment Forms

Invisalign Consent – https://form.jotform.com/201440445887155

Invisalign Attachment Agreement – https://form.jotform.com/201441169088152


Financial Forms

Credit Card Authorization – https://form.jotform.com/201441147143140