Holbert Family Orthodontics

Michael Holbert DDS, MDSc

Patient Forms

Please take a minute to print and fill out or complete our online patient information form.  Completing this prior to your intial appointment will provide us the necessary information to present a complete orthodontic plan with all of your financial options:

  • Patient Form Packet (Child) PDF
  • Patient Form Packet (Adult) PDF

Regarding our online patient history, please complete all fields and make sure you click Submit at the end of the form.  Your signature will be required once Dr. Holbert has reviewed all information with you.

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