Patient Forms

These documents are in PDF format. If you’re unable to read PDF files, you can download Acrobat Reader free from Adobe.

For Orthodontic Patients

For your orthodontic consultation, please complete the appropriate health history form and the HIPAA authorization form prior to your first visit at Parrish Orthodontics.

• Adult Patient History and Sleep Questionnaire
• Child Patient History and Sleep Questionnaire
• HIPAA Authorization

For TMD or Sleep Apnea Patients

For an TMD or sleep apnea consultation, please complete the appropriate form and the HIPAA authorization form prior to your first visit at Parrish Orthodontics.

• TMJ Questionnaire
• Snoring Questionnaire
• HIPAA Authorization

IN-OFFICE ONLY

• Media Release Form
• HIPAA Authorization
• Informed Consent Form