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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 ask that you please complete your new patient paperwork at least 24 hours prior to your visit. This can be done from your computer or phone by clicking the link below:

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:

Please include accurate dental insurance information (same insurance you use at your dentist) on your new patient form so we can provide a complete benefit breakdown at your initial visit.

You can also snap a photo of the front and back of your insurance card and text it to our office at 903-212-7737.

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


What patients are saying

“My daughter was very insecure about her teeth. She went from insecure to non-stop smiling in just a few months! For me that was just amazing! We love Mack & Hansen’s welcoming environment and their staff...always smiling, very helpful, energetic, and the most friendly in/out of the office. We Thank You All! I am FOREVER grateful for 'HER' smile!” ~ Sophia H. of Longview “My child actually looks forward to her orthodontist appointments!! The staff is always so friendly and it’s a positive, uplifting environment.” ~ Kara H. of Hallsville “I love the efficiency of Mack & Hansen Orthodontics. They have thought of everything when it comes to making a great customer impact. Not only are they skilled at making beautiful smiles, but they care about their patients. They are welcoming, up-to-date on technology, and really have hit the nail on great customer service! I would recommend them to anyone!” ~ Anita N. of Henderson “They have the absolute sweetest people working here! Every team member interacts with each patient. They show so much care for everyone and make you feel like family! I am so glad my braces experience has been with Mack & Hansen Orthodontics!” ~ Bonnie C. of Mount Pleasant “I love Mack & Hansen! Getting braces as an adult can be nerve racking, but this office has made my experience very comfortable! They offer great payment plans too. If you need anything they are very prompt with getting you seen or answering questions. Also, the new office is incredible and has an amazing mural painted outside.” ~ Alex M. of Kilgore “Absolutely the BEST orthodontists and office staff in town!  Always making sure we are taken care of and helping us on our smile journey!  Not to mention FUN!  Their ability to have fun makes it so much more enjoyable for their patients!” ~ Melissa H. of Marshall