New Patient Forms

You may access the following forms to assist us with your care. Please fill out the desired form, then submit.

Brace Bus Forms

For the convenience of our Lebanon City Schools patients and our Monroe City Schools patients, we provide a prompt and safe Brace Bus Service to help transport your child to his or her appointment!  Please complete all three forms below (corresponding to your school system) to participate in the Girdwood Orthodontics Brace Bus Service.  If you have issues submitting your forms, please contact tinah@girdwoodortho.com.

Lebanon Brace Bus Forms