Thank you for completing the request an appointment form on our website. We have received your information. A Customer Care Representative will contact you within 24 hours. If you need to speak with us right away, please give us a call at 844-616-5437. We look forward to speaking with you soon.

Kind Regards,
The Kids Care Dental & Orthodontics Family

We can’t wait to meet you – so let’s get started!

Prior to seeing each new Dental or Orthodontic patient, we need to gather a little information. Here are the forms we need for your upcoming appointment. Please download and print the PDF for your Dental or Orthodontic visit, fill it out and bring it in with you.

We value our patient’s privacy and would never sell or share your personal information. It is used solely for the purpose of providing you with excellent service, speeding up your visit and assisting with your insurance. See you soon!

DENTAL FORM

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ORTHODONTICS FORM

NEW PATIENTORTHODONTICS FORM

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