Patient Forms

Your overall health can impact your dental health and orthodontic treatment - and vice versa.  To ensure the most effective treatment, Dr. Park will review your medical and dental history during your evaluation.  

Please download and fill in the forms below and bring the completed forms to the office for your appointment.  Feel free to call the office with any questions.  

• New Patient Intake Form | Word
• New Patient Intake Form | PDF
• Privacy Practices (HIPAA) Form | PDF only

(The PDF version requires Adobe Acrobat Reader to view and edit.  If you do not have Adobe Reader already installed on your computer, click here to download.)