La Habra Office : 562-690-1199
Chino Hills Office : 909-393-9911

2250 West Whittier Blvd. Suite 200, La Habra, CA 90631

15944 Los Serranos Country Club Dr #100, Chino Hills, CA 91709

Patient Forms

Save time at your first appointment!

Before your consultation, we’ll email you a welcome letter and an online link to complete all the necessary forms. It’s super-fast and there’s no need to print anything out. This will save time at the appointment. But don’t worry if you forget or don’t have time – we’re happy to provide an iPad when you arrive to quickly accomplish the forms.

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Patient Form Download

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

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

Eating with Braces: The Ultimate Guide + 4 Incredible Braces-Friendly Recipes from Dr. Gire
Eating with Braces: The Ultimate Guide + 4 Incredible Braces-Friendly Recipes from Dr. Gire

La Habra/Chino Hills, CA –  If you wear braces, or will be soon, chances are you’ve heard the list of foods you’re not supposed to eat. When you’re in orthodontic treatment and have traditional braces, there are some restrictions to remember. But don’t worry – there are still… Read more »

At What Age Should Children First See an Orthodontist and Begin Treatment?
At What Age Should Children First See an Orthodontist and Begin Treatment?

La Habra/Chino Hills, CA – As a parent, you want what is best for your children. Just as you monitor their overall health with regular checkups with their pediatricians, you should also be concerned with how their smiles are taking shape. It is recommended that children visit… Read more »

Will Braces Stain My Teeth?
Will Braces Stain My Teeth?

La Habra/Chino Hills, CA – Braces are considered a worthy investment for straightening misaligned teeth and helping orthodontic patients achieve a healthy, functional smile and, ultimately, better confidence. If you are considering getting braces or are already in braces treatment, you might have heard that braces can… Read more »

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