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New Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.

  • New Patient – Adult
  • New Patient – Child
  • HIPAA Notice
  
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Cumming Office | 285 Elm St., Suite 101 | Cumming, GA 30040 | Phone: 770-888-7798 | Fax: 770-888-1474
Suwanee Office | 345 Peachtree Industrial Blvd | Suite 1102 | Suwanee, Georgia 30024 | Phone: 770-888-7798 | Fax: 770-831-4983
Hiser Orthodontics serves the following areas: Suwanee, Sugar Hill, Duluth,
Johns Creek, Cumming, Atlanta, Gwinnett, Buford GA.
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