Skip to content

Fort Collins (970) 226-6443
4144 Timberline Rd, Fort Collins, CO 80525
Loveland (970) 226-6443
3520 E 15TH St STE 101, Loveland, CO 80538

Home
About Us
New Patients
Orthodontic Treatments
Patient Rewards
Blog
Contact Us

Menu

Home
About Us
New Patients
Orthodontic Treatments
Patient Rewards
Blog
Contact Us

Patient Forms

Patient Forms

Fill out our digital forms for your location and doctor.

CHILD - Ft. Collins - Dr. Seager
CHILD - Ft. Collins - Dr. Jared
CHILD - Loveland - Dr. Seager
CHILD - Loveland - Dr. Jared

ADULT - Ft. Collins - Dr. Seager
ADULT - Ft. Collins - Dr. Jared
ADULT - Loveland - Dr. Seager
ADULT - Loveland - Dr. Jared

Please take a minute to print and fill out the patient information form before your first appointment:

Patient Form (Child)

Patient Form (Adult)

Notice of Privacy Practices

HIPAA Compliance

If you're unable to open PDF files, you can get Adobe Reader® for free. Click Here

We look forward to helping your family with their orthodontic needs and welcome the opportunity to be of service to you and your family!

Quick Links

Locations

4144 TIMBERLINE RD
FORT COLLINS, CO 80525
(970) 226-6443

3520 E 15TH ST, STE 101
LOVELAND, CO 80538
(970) 226-6443

Crafted by Lucent Spot Marketing 2019