New Patient Forms

The following forms are necessary so that we can safely treat you. Information about our office policies and your rights as a patient regarding health: HIPAA Policies and Procedures

Please download the following forms, fill them out, and bring them with you to your first appointment – or simply submit them online. If you would prefer to fill them out in the office, please arrive 15 minutes before your scheduled appointment to allow time for paperwork:

Submit Health History Online

Submit Form Online (English)
Envia Forma (Spanish)

Download Heath History Form to Print

Download Form (English)
Descarga Forma (Spanish)

If you have any recent x-rays from your dentist, it is also very helpful to have them forwarded to our office. The easiest way to do this is to call your dental provider and request that your recent records be emailed to us at info@nobleorthodontic.com You can also let us take care of it by completing a Records Release Form