Patient Forms


Convenient Orthodontic Care Near You

You deserve a smile you're proud of, and at Eastern Virginia Orthodontics, our mission is to help you achieve one. As a leading orthodontist serving Chesapeake, Virginia Beach, and Norfolk, VA, we're proud to offer a wide range of orthodontic treatments to patients of all ages, and our orthodontists work closely with our patients to create deeply personalized treatment plans. We strive to make treatment as convenient as possible, so to help you save time at your first appointment, we've made our patient intake forms available online.

Online Orthodontic Patient Forms

We know your time is valuable, and we do everything we can to make treatment fast and convenient. So to help streamline your initial consultation, we've made it easy to fill out and submit our patient intake forms right here on our website. Simply open the forms below and fill them out, then hit the submit button to send them to our office – that way, you'll skip the paperwork at your first appointment.

Comprehensive Orthodontic Treatment

Whether you're a teenager getting braces for the first time or a busy adult professional looking to revitalize your life with a new smile, orthodontic treatment can impart a boost in happiness, confidence, and self-esteem that radiates through every area of your life. We're proud to offer a comprehensive array of treatment options at our practice, including:

Schedule a Consultation with Your Local Orthodontist

We hope these online forms make your initial consultation even easier – and if you're ready to schedule a consultation for yourself, we're here to help! Simply use our easy online form to schedule your consultation right here on our website. We can't wait to get you started with orthodontic treatment and set you on the path towards the smile of your dreams!

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