Shasta Orthodontics

Creating Beautiful Smiles That Last A Lifetime

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Child Forms

To hear more about Shasta Orthodontics and schedule a free consultation, please fill out the following information or call our office.

Child Patient Forms

Child Patient Form

Consent for Disclosure

Consent to Release Dental Records

Goals and Expectations

New Patient Clearance Form

Photo Release Form

Preauthorization Payment Form

Spanish Forms

Formulario Paciente Nino