For your convenience, we’ve provided our New Patient forms in PDF format. Please fill them out and bring them with you on the day of your appointment and save a few moments in the waiting room.
Completing the Forms
To complete your New Patient Form, simply download and save the appropriate file below to your Desktop. The forms are in PDF format and may be completed with Adobe Acrobat Reader. After you’ve completed and saved the forms, you may print them and bring them on your first visit or email them as an attachment to [email protected] (Allen) or [email protected] (McKinney). Emailed forms should be sent prior to your first visit.
- New Patient Forms for a Child Patient [PDF] [Online Form]
- New Patient Forms for an Adult Patient [PDF] [Online Form]
Important Privacy Notice
Dr. Ghosh and Dr. Lofgren are concerned about your personal and medical privacy. If you choose to email your completed patient forms to our office, you should be aware that while most top-level email systems are password-protected and secure, not all email systems are encrypted and your personal information may be visible to third parties (like your internet service provider, employer or another account user.) If you are unsure about the security of your email account, please bring a printed copy of your forms on your first visit. If you choose to email your forms to Creekview Orthodontics, know that the entire staff is trained to manage all patient emails and medical information according to HIPAA regulations.