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1450 Columbus Avenue Suite 101 • Washington Court House Ohio 43160 • 740.335.2921
Patient Forms
If you like, before your first appointment with us, you can print your forms, fill them out, and have them ready before you arrive!

There are 2 forms for child/dependent patients, and 2 forms for adult patients.

If you have any questions, please call our office at 740.335.2921.
Child Health History Form: ChildHealthHistoryForm.pdf
Child Registration Form: ChildRegistrationForm.pdf
Adult Health History Form: AdultHealthHistoryForm.pdf
Adult Registration Form AdultRegistrationForm.pdf
Sarah J. Thompson - Your Washington Court House Orthodontist
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