RESPONSIBLE PARTY INFORMATION
DENTAL INSURANCE INFORMATION
If yes complete the following below:
MEDICAL HISTORY OF NEW PATIENT
DENTAL HISTORY OF NEW PATIENT
For FEMALE Patients Only:

BENEFITS

Benefits of Orthodontics: Esthetics, Beauty, Health, Function, Confidence, and Success. Orthodontics is a service that provides an improvement in the appearance of the teeth, in the function of the teeth, in the dental and medical health of the patient, and in the overall self-esteem and future success of the patient.

I have truthfully answered all the above questions and agree to inform this office of any changes in my medical or dental history. In addition, I authorize Dr. Gibson to perform a complete orthodontic evaluation.


1ST IMPRESSIONS Orthodontics: 


Call For An Appointment: 303-452-2277
Feel free to text us questions or send images at 303-818-7781.
Email us: [email protected]
Gо tо оur Contact Us page fоr оur email, maps аnd directions.

1ST IMPRESSIONS Locations:


Current Location
2761 W 120th Ave. #110 Westminster, CO 80234


Schedule An Appointment For Invisalign® Treatment or Braces: Call (303) 452-2277 Text: (303) 818-7781 Email: [email protected]