Karen E. Calef, D.M.D.
Orthodontist
Orthodontist
Forms and Publications
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Karen E. Calef, D.M.D. 211 Storrs Road Mansfield, CT 06250 Phone: (860) 456-3718 Fax: (860) 423-2766 Email: info@smilesbykaren.com |
| Orthodontic Urgencies What to do when something breaks? Click Here |
| Please complete the appropriate forms by clicking on them. You will be able to fill out the form on your computer, and then be sure to print each page as soon as it is filled out, as text cannot be saved. Patient Medical History Forms Print both front and Back of form. |
| Responsible Party Forms |
| Supplemental Orthodontic History Questionnaire |
| HIPAA Privacy Form |
Child Form |
Child Form |
Adult Form |
Adult Update Form |
Adult Form |
| Patient Instruction Forms |
| Clear Retainer |
| Hawley Retainer |
| Separators |
| Lingual Wire |
| Canker Sore Recipe |
| Bleaching |
