Patient Information Form

Secure Digital Patient Information Form

Welcome to Kidz Dental Care, the premier center in Myobrace® pre-orthodontics and pediatric dental care.
  • Please fill out the secure patient information for below for our records before your first visit.
  • We prefer a digital record; however, if you feel more comfortable filling out a paper copy, you may download and print a PDF copy of the form to bring in to the office.

Patient Forms


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.