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Patient Forms

Patient FormsPrior to your initial consultation, please complete the following forms and click the "Submit" button at the bottom of each form. This will save you plenty of time during your initial appointment!

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Hartsock Orthodontics

  • Hartsock Orthodontics - 161 College St., Suite 3, Pikeville, KY 41501 Phone: 606.432.3603

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