The following forms are available for your convenience. To expedite your first check in procedure, please fill these forms out and bring them with you to your first appointment or email them directly.
***Note: To open the files below you may do the following: Click the link to open up the document in a browser window (if you get a user login and password screen, please ignore it by hitting cancel. The document will still open); or you may also download the file by right-clicking the link, then saving the target source to your hard drive. Just note the location you saved the file for future reference.
*** Dental ONLY Forms ***
Please use the forms below "ONLY" if you are submitting for
LWSS Dentistry
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Child New Patient Forms (pdf)
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Adult New Patient Forms (pdf)
*** Orthodontic ONLY Forms ***
Please use the forms below "ONLY" if you are submitting for LWSS Orthodontics
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Fun Form Ages 10 and Below (pdf)
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Adult Medical History 18 and Over (pdf)
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UNDER 18 Medical History (pdf)
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Informed Consent (pdf)
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Child Authorization (pdf)
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Adult Authorization (pdf)
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LWSS Orthodontics Policies (pdf)