New Patient Forms


You may access the following form to assist us with your care. Please complete the following form completely, and click the "Submit" button at the bottom of the form:

For your convenience, if you are unable to complete the online form, you may download, print and complete the following form and bring it to your next appointment:

*These forms require Adobe Acrobat Reader to view. Click the Adobe logo to download.

West Orthodontics

  • West Orthodontics - 1475 E. McAndrews Rd., Medford, OR 97504 Phone: 541-770-1176 Fax: 541-770-1501

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