Patient Forms

You may access the following forms to assist us with your care. You can either submit our new patient forms online or download, print, and bring them in to your appointment.

Online Forms

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Printable Forms

If you experience an error or would prefer to bring in your form to your appointment, please download and print the appropriate form below.

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

If you’re unable to open PDF files, you can get Adobe Reader® for free.

No dental referral necessary

We accept a majority of insurance companies including:

Aetna Cigna Delta Dental Detemax Guardian
American Association of Orthodontists ADA Damon Smile - more than straight teeth Invisalign Zoom

Patient Rewards

rewards card

Imagine earn­ing points for be­ing a great pa­tient and hav­ing a great smile! With Marshall Family Orthodontics, you get to join a mem­ber­ship club of lucky users who earn points for do­ing all kinds of awe­some things. And the best part is that you get to use your points to play games, or­der gift cards and more!