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New Patient Orthodontic Online Forms

Welcome to Brush n Brace! In order to make it easy for your free orthodontic consultation , you can fill out our new patient orthodontic form electronically.
If you have any questions you can call our office at: (858) 800-2000. If you’re not able to fill out the form before the appointment, then please arrive 10-15 minutes before your consultation. Thank you!

NEW PATIENT ORTHODONTIC FORM NEEDED FOR YOUR CONSULTATION AT BRUSH N BRACE

Fill out our orthodontic patient forms online, before your consultation with our orthodontist in San Diego CA.

Do you have some x-rays or pictures you would like to send us? Click here to upload them to our secure server.

You can download the form to your computer and email it to us at: staff@scrippspediatricdentistry.com

We ask that you fill it out and email the form to us as soon as possible so that we can have everything ready for your consultation.

Please save the file to your computer and open the file with Adobe Reader. If you do not have Adobe reader installed on your computer, you can download it for free at: https://get.adobe.com/reader/

Once the file is open in Adobe Reader, please type in your answers and save file. You don’ need to worry about signing the form, we can do that here at the office.