Karen E. Calef, D.M.D.
Orthodontist
Forms and Publications
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
Orthodontic Urgencies
What to do
when something breaks?
Click Here