braces
Dr. Thomas Torres, Orthodontist, Norfolk, Chesepeake,  Charlotte
Corpus Christi, TX 78412, braces, retainer, teeth, tooth, smile, beautiful smile, fix smile, whiten teeth, mouth guard, mouth, hygiene, pretty, Coastal Orthodontics

Coastal Orthodontics

(361) 993-2288

6500 S. Padre Island Drive • Suite 25
Corpus Christi, TX 78412

New Patients

New Patient Forms for Download (Adobe Acrobat PDFs)

English:

New Patient Form Adult

New Patient Form Child

Notice of Privacy Practices

Acknowledgement of Receipt of Notice

Authorization to use or Disclose Protected Health Information

Orthodontic Office Policies

Letter of Information and Consent Agreement

Spanish:

Notice of Privacy Practices

Acknowledgement of Receipt of Notice

Authorization to use or Disclose Protected Health Information

   
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