Patient Forms

If you are a new patient to our office, below you will find new patient forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.


New Patient Forms


Medical History Form

Insurance Information

Automatic Payment Authorization


Patient Education Forms


Braces

Braces (Spanish)

Expander Instructions

Favorite Foods to Avoid

Invisalign Instructions

Lower Lingual Arch

Quad Helix

Retainer Instructions

Schwartz Instructions

Spacers

Request A Complimentary Consultation

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.

 

Testimonials

Love it here! They are so nice here! They do a lot of contests to win iPads and a lot of patient appreciation events. They will work with you.

MELISSA O.

Dr. Erdell and the "Dreamteam":
Thank you for the gift of beautiful smiles in the works. It was our good fortune to have found you and your fabulous staff. You are so wonderful with my boys!

C.W

Dr. Erdell is the best orthodontist, she is very caring and will give you the smile of your dreams. I highly recommend her she is the best!

NUBIA F.

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Office Location

  • Walnut Creek
  • 218 N. Wiget Lane
  • Walnut Creek, CA
  • 94598
  • Map & Directions
  • Call: (925) 946-1951

   


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