| Here's
where you will find all the necessary information you will need for your
first visit with Dr. Pinzon or Dr. Weeden.
New
Patient Information Form—Adult
To be completed by an adult new patient prior to the
first visit. Bring this completed form to the New Patient Treatment Coordinator
at your first appointment.
New Patient
Information Form—Child
To be completed by the parent or guardian of the new
patient prior to the first visit. Bring this completed form to the New
Patient Treatment Coordinator at your first appointment.
Large, Printable
Map to Our Office
This is a larger version of the map found on the Location
page.
Privacy
Notice
This notice describes how medical information about
you may be used and disclosed, and how you can get access to this information.
Please review it carefully.
Privacy
Consent
This form is optional under the new patient privacy
regulations recently issued by the United States Department of Health
and Human Services. We have elected to use this form. Prior to commencing
your orthodontic treatment, you should review, sign, and date this form.
These forms are provided in Adobe Acrobat PDF Format.
To obtain the free Acrobat Reader, follow
this link, or click on the icon below.)

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