Trinity Orthodonitcs

(working on)

Bryan P.
Nelson DDS MS 303-427-5000

"You shall do what is right and good in the sight of the Lord." Deut. 6:18

Patient Forms

Please take the time to print and fill out the patient information forms before your first appointment. It is extremely important to fill out all  paper work prior to your appointment.
(and bring it with you to your appointment) Paperwork can take 15-30 minutes to fill out. 
Your time with the doctor is beneficial for both of you. Dr. Nelson gives a thorough exam. The consultation (exam, X-rays, questions/answers) will take up all of your appointment time.

Orthodontic Forms:

CHILD

  1. Patient Form (click here)
  2. Patient Medical History (click here)
  3. How did you hear about Trinity Orthodontics (click here)
  4. Child Airway Sleep Facts (informationa  (click here)
  5. HIPPA Form  (click here)
  6. On-Line Health History Form (click here)

Please bring the above documents with you to your first orthodontic visit.

ADULT

  1. Patient Form  (click here)
  2. How did you hear about Trinity Orthodontics (click here)
  3. HIPPA Form  (click here)
  4. On-Line Health History Form (click here)

Please bring the above documents with you to your first orthodontic visit.

TMJ/SLEEP

  1. Patient Form  (click here)
  2. How did you hear about Trinity Orthodontics (click here)
  3. HIPPA Form  (click here)
  4. On-Line Health History Form (click here)

Please bring the above documents with you to your first orthodontic visit.

 

 

 

 

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

For Doctors/Dentists referral form (click here )  

Back to top