New Patient Forms

We look forward to meeting you on your first visit to our office. Please take a minute to complete the patient information forms below before your first visit to Altera Orthodontics.

New Patient Forms:

New Patient Form - English
New Patient Form - Spanish

Supplemental Covid-19 online forms:

AAOIC Supplemental Informed Consent - English
AAOIC Supplemental Health Questionnaire - English
AAOIC Supplemental Informed Consent - Spanish
AAOIC Supplemental Health Questionnaire - Spanish


4 Easy Steps to Get Started

Schedule Your Complimentary Consultation
You’ll meet Dr. H and his friendly staff and have a chance to tell us what your smile goals are. Then we’ll do a pain-free assessment of your current dental structures. Click HERE to schedule your complimentary consultation with Dr. Hashemi today.
Patient Forms
Complete our online forms prior to your first visit.
Your Custom Treatment Plan
Dr. H will create a customized treatment plan based on your or your child’s needs, answering any questions you may have about timing, pricing, or life with braces.
Get Started
It’s time to create the beautiful smile you have always wanted. If treatment is indicated, we can start the same day!

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