We'd like your first visit to our office to be quick and easy. Prior to the new exam appointment, please take a few moments to complete our on-line health history.
Click the link below to start.
https://orthoii-forms.com/custom/3144/healthhistory/KampasHealthHistory.aspx?custid=3144
-or-
If you like ink and paper, here are our forms.
Please take a minute to print and fill out the patient information form before your first appointment:
- Patient Form (Child) PDF | DOC
- Patient Form (Adult) PDF | DOC
- Smile Club Certificate PDF
- Smile Club Program Guide PDF
Our School Shuttle requires that you fill out a few forms:
If you’re unable to open PDF files, you can get Adobe Reader® for free.