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Back
  • New patients
    • Patient forms
    • Your first visit
    • Financing & insurance
    • Free Consult
    • Virtual consult
  • About us
    • Why choose us
    • Meet Dr. Faja-Fernandez
    • Reviews & testimonials
    • Meet our team
    • Myrtle Beach office
    • Careers
    • Blog
  • Our treatments
    • Clear aligners
    • Metal braces
    • Brace Color Wheel
    • Orthodontics for all ages
    • Ortho info video library
  • Contact us
    • Free Consult
    • Virtual consult
    • Refer a friend
    • Review us
Free Consult

Our Location

(843) 903-3300

(843) 896-6558

Patient forms

Save time at your first visit

Save time at your first appointment, and fill out your forms now.

Online Forms

Patient Form (Adult)

Patient Form (Child)

Update Health History

Patient Form (Adult - Espanol)

Patient Form (Child - Espanol)

Downloadable Forms


Child Questionnaire

Facemask Instructions
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Foods to Avoid
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Habit Appliance Instructions
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Herbst Appliance Instructions
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Palatal Expander Instructions
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Photo Release Form
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Spacers
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Thumb Habit
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TMJ Instructions
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Notice of Privacy Practices

Schedule a free consultation

Schedule a free consultation at our Myrtle Beach office, and get a straighter, healthier smile to last a lifetime. You can also call us at (843) 903-3300 or text (843) 896-6558.

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107 Surgeons Dr., Myrtle Beach, SC 29579

  • Call Us At(843) 903-3300
  • Text Us At(843) 896-6558
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