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Patient Form
Greenberg Orthodontics & TMJ

In order to accurately serve your needs and get started on your new patient file, please fill out the following New Patient Form.

This includes you (or your child’s) basic information, medical history, and specific goals for your dental needs. Please make sure to complete every page to the best of your knowledge. Please add any details you think are important to your medical history, including facial injuries, chronic dental problems, or any diagnosis related to sleep apnea or other breathing issues. In addition, any relevant family history should also be included.

If there is information that you do not know or not sure of, you can leave that blank and we will work to fill it in at a later time. At Vickie Greenberg Orthodontics, we are dedicated to providing the highest level of expertise possible for all your orthodontic needs. Board-certified Dr. Greenberg specializes Invisalign®, Invisalign Teen®, maxillofacial orthopedics and non-surgical and non-extraction orthodontic treatment. We will have your New Patient Form ready for you to sign once you arrive for your appointment. If you have any other information for us, you can provide it at that time.

Greenberg Orthodontics & TMJ not only offers specialized care, but you can also first see if it’s the right choice for you by booking your FREE consultation. We offer these free consultations to get to know you and help ease your or your child’s fears about what it means to have ongoing dental treatments and how that can improve your overall quality of life.

2035 Lake Ave, Altadena, CA 91001

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