Patient Forms

After you have secured your appointment by calling our office you will receive a confirmation email of your appointment with a link to our on-line portal to easily complete a Patient Information Form/ Health History Form.

To make your first visit with us as smooth as possible, please complete and submit the new patient form at least one day before your appointment to allow Dr. Igel time to prepare for your appointment. We value your time and look forward to helping you begin your orthodontic journey to a beautiful new smile!

Contact us at (402) 330-1152 with any additional questions. We look forward to meeting you and helping you achieve a beautiful, healthy smile for life!

Patient Information / Health History Form 

HIPAA (Notice of Privacy Practices)