Patient Forms

The team at Walnut Central Orthodontics is excited to see you at your new patient consultation!

We've partnered with OrthoFi to help simplify the collection of patient information, insurance processing, and billing to offer you the most flexible payment options possible. Your right to privacy is of the utmost importance to us, and we use the latest technologies to ensure your information is safe and secure.

To make the day of your upcoming appointment as smooth as possible, we would appreciate you filling out your New Patient Exam Forms online prior to your visit. Please have your insurance information on hand to speed up the process.

Click Here to Complete Forms (We do not offer downloadable forms. You will need to register and complete the form online.)

If you have any questions, please do not hesitate to contact the office at (214)-692-5688.

Why we use OrthoFi
CHOOSING THE BEST CARE HAS NEVER BEEN MORE AFFORDABLE
Making the choice to get the beautiful healthy smile you deserve is a lifetime decision. At our office, we want to make sure that decision is based on who you feel can provide the best, most lasting results with the most comfortable experience. We continue to invest in technology that delivers beautiful results with greater comfort, and in less time. But we also know it has to be affordable. That's why we've partnered with OrthoFi. Today, you don't have to settle – you can get the best care available at an affordable price.
With OrthoFi you can:
  • Choose the Best Treatment Option for Your Family
  • Design Your Own Payment Plan to Fit Your Budget
  • View Your Payment Plan Details Online On Your Time
YOU HAVE THE
POWER OF CHOICE