New Patient Form - Child

Welcome to Tri-Valley Orthodontics! Please complete the form below (along with the Child Medical & Dental History Form & HIPAA Form) and submit them prior to your complimentary consultation. If you prefer to fill out the form on paper please refer to our Forms link to print, scan and email them to us at info@tri-ortho.com. Submitting your forms prior to your visit will save a lot of time at your initial visit, so you can get right to getting your records done & meeting with Dr. Ko or Dr. Yoon. We’re looking forward to meeting you soon!