At Urban Orthodontics, we aim to make your visit as seamless and efficient as possible. To help us prepare for your appointment and minimize wait times, we kindly ask all new patients to complete a health history form in advance. These secure online forms provide our clinical team with the information necessary to deliver safe, personalized orthodontic care from day one.
Please select the appropriate version of the form below:
Health History Form – English
If you prefer to complete your form in English, please use the following secure link:
Complete Health History Form – English
Health History Form – Spanish / Español
Si prefiere completar su formulario en español, utilice el siguiente enlace seguro:
Formulario de Historial Médico – Español
Why These Forms Matter
Completing your health history form ahead of time helps us:
- Review important medical and dental information before your visit
- Tailor your orthodontic care to your individual needs and health background
- Ensure your appointment runs on time and as smoothly as possible
All information submitted through our online forms is encrypted and HIPAA-compliant to protect your privacy.
Questions or Issues?
If you have any trouble accessing the forms or need assistance, please don’t hesitate to contact our office. We’re happy to help walk you through the process.
Thank you for choosing Urban Orthodontics—we look forward to welcoming you to our practice!
