Request Your Complimentary Consultation

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.

Giving East Texas a Reason to Smile