Patient Forms

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Patient Forms

Convenient Orthodontic Care in Virginia Beach, VA

At Eastern Virginia Orthodontics, our mission is to help patients throughout Chesapeake, Norfolk, Virginia Beach, and the surrounding areas achieve a beautiful, healthy smile through quality orthodontic treatment. We're proud to offer a variety of treatments ranging from braces to Invisalign, and we work hard to personalize treatment to suit your unique lifestyle. We do all we can to make the treatment process as convenient as possible, which is why we're proud to make our patient intake forms available online. 

Online Patient Forms

We know how busy life can be, so we work hard to make orthodontic treatment as convenient as possible. We've made our patient intake forms available to submit online so you won’t have to worry about bringing them into our Chesapeake, Norfolk, or Virginia Beach offices for your next appointment. Completing these forms ahead of time will help save time at your initial consultation, giving you more time with your orthodontist. Feel free to fill out these online forms and click the "Submit" button to send them to our office:

Braces & Invisalign in Chesapeake, Norfolk & Virginia Beach

A new smile is a gateway to more happiness, more confidence, and a better you – and as a leading orthodontist in Eastern Virginia, we're proud to offer a variety of treatments to help you achieve one. No matter what orthodontic problem you're up against or whether you're pursuing treatment for your child or as an adult, we'll work with you to help you choose the perfect treatment method for your lifestyle. Our orthodontic treatments include:

 Early Treatment
 Adolescent Treatment
 Adult Treatment
 Various types of braces
 Invisalign
 Retention
 Orthognathic Surgery
 Temporary Anchorage Devices (TADs)

Schedule a Consultation with Your Norfolk Orthodontist

We hope these forms help to streamline the orthodontic treatment process for you, and if you're ready to start towards a new smile of your own, we'd love to help. Schedule a consultation online today to learn how orthodontics can help you achieve a gorgeous new smile and start your own treatment course. We can't wait to hear from you!


*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.