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New Patient Forms

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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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