HUNTINGTON BEACH ORTHODONTICS is committed to facilitating the accessibility and usability of its website,, for everyone. HUNTINGTON BEACH ORTHODONTICS aims to comply with all applicable standards, including the World Wide Web Consortium's Web Content Accessibility Guidelines 2.0 up to Level AA (WCAG 2.0 AA). HUNTINGTON BEACH ORTHODONTICS is proud of the efforts that we have completed and that are in-progress to ensure that our website is accessible to everyone.

If you experience any difficulty in accessing any part of this website, please feel free to call us at 714-509-1517 or email us at and we will work with you to provide the information or service you seek through an alternate communication method that is accessible for you consistent with applicable law (for example, through telephone support).

  • 16168 Beach Blvd. Suite 90, Huntington Beach, CA 92647 |
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New Patient Form

Patient Forms

If you are a new patient, please download and fill out one of the health history forms below.

Once your form is submitted online it will automatically get integrated into our system. If you are bringing siblings with the same insurance and billing party information, only one of the child forms needs to have that information.

In addition, please read the following forms- then sign, print and bring with you on your 1st visit to our office.

Before you are wear your Invisalign braces it is important that you print the following form and bring with you to your next appointment.

Free Consultation

We would like to offer you a complimentary consultation at any of our office located in Huntington Beach, CA, so we can create a treatment plan to suit your needs.

English Patient History Form Spanish Patient History Form