Call: (805) 643-1266

Patient Forms

If you are a new patient to our office, please print and email your new patient forms to: braces@kensmithortho.com 

Patient Forms (Print & Complete All Forms Prior To First Office Visit) 

Adult New Patient Form (Download)

Child New Patient Form (Download)

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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