Be Prepared Before Your Visit

Have you scheduled your consultation with Clower Orthodontics PC? Please download and fill out the forms mentioned below to help us make your visit smoother and hassle free. If you have any questions or doubts, feel free to give us a  call. These only need to be completed if your state supported insurances (Medicaid,).

If you are a FFS patient have Commercial Insurance, please only download, fill out the "history sheet" form.  If you have any questions or doubts, feel free to give us a call. 

• History Sheet
• Consultation and Exams Required Documents
• Meet Our Family
• Payment Information
• Diagnostics Record Release Form
• Clarification of Medicaid Policy
• Privacy Notices Form
• Coverage Form
• Patient Cooperation Form
• Dentist Permission Form