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!
Teen / Kids Health History 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.