New Patient Forms

New patient completing orthodontic paperwork

Your first visit to NuLine Orthodontics should be smooth and stress-free, and the paperwork is the easiest place to start. Download your new-patient forms, complete them ahead of your complimentary consultation, and bring them with you to save time in the office.

Would you rather handle it here? That's no problem at all, and our team will have everything ready when you arrive. Request an appointment or give us a call, and we'll walk you through the next steps and answer any questions about insurance, payment options, and what to expect. Se habla español.

Request an Appointment

Download Your Forms

Click a form below to download it as a PDF. Print, complete, and bring it to your first appointment. If you have any trouble opening or filling out a form, just let our team know and we'll be glad to help.

Patient History Form

Dental Clearance Form

New Patient Referral Form

BadgerCare / T19 patients: please also complete the health check form for your office.

T19 Health Check for Milwaukee & Greenfield

T19 Health Check for Beloit

Referring a Patient?

Sending us a patient is an honor. To make a referral, have your patient request an appointment online or call us, noting the referring doctor's name, and our front-desk team will take it from there with any questions about scheduling, insurance, and payment options. You'll hear from us throughout treatment.

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