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Patient Forms

We would like to welcome you and your family to Mack and Hansen Orthodontics. In an effort to provide the best service possible, we offer you the ability to complete the new patient paperwork online from your computer or phone by clicking the link below:

New Patient Form

If you would instead like to print the form and fill it out prior to coming in for your complimentary consultation, you can do so using the link below:

  • New Patient Form PDF

If you would like us to check on any insurance for you prior to your visit, please email your completed health history form to admin@etxortho.com

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Giving East Texas a Reason to Smile