New Patient Forms | Mergen Orthodontics

Patient Form

Over 19,000 Happy Smiles Transformed Since 1997

To save time during your initial visit to Mergen Orthodontics, please take a moment to download, print, and fill out the new patient form below. Please bring the completed form with you to your appointment – we can’t wait to meet you!

patient form

Teen / Kids Health History Form

patient form

Adult Health History Form

As one of the premier orthodontic practices in Iowa City, IA, our team at Mergen Orthodontics also provides 5-star-rated orthodontic care to children and adults in Coralville, North Liberty & Solon, IA, and surrounding areas.

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