Orthodontic Records


Please bring the following forms for your orthodontic records appointment.


Informed Consent


Privacy Policies


Patient Treatment Policies


Financial Policies


Consultation Visit


Please bring the appropriate from with you to your consultation visit.


Patient Information and Medical History for Children


Patient Information and Medical History for Adults


631.651.8580

Village of the Branch oRTHODONTICS

314 E Main Street Smithtown, NY 11787



Forms, Forms and more Forms

631.754.1745

Northport Harbor Orthodontics

239 Main Street Northport, NY 11768