Patient Forms | Dr. Emilia Taneva Orthodontics
Skip to the content

Join Our Newsletter

Receive up-to-date specials, limited offers and exclusive info!

Join Now

Patient Forms

To make your appointment go smoothly and without delays, please view and fill out our patient forms prior to visiting our office in the Downtown/Loop, Archer/Midway, Palos Heights and Lincoln Park locations. If you need assistance, please don’t hesitate to contact us. We are excited about your visit to our office.


General Forms

MEDICAL HISTORY FORM
NEW PATIENT FORM

New Patient Form (EspaΓ±ol)

Office Policy & Payment Policy

Deposit Policy

First Commonwealth Oral Surgery Policy

Pre Authorization Policy

HIPAA Form


Consent Forms

Orthodontic Consent Form

 

 

https://dremiliataneva.com/wp-content/uploads/2025/01/book-consult-mobile-edited.png

Book a Consult

If you’re curious about starting your smile journey, book a consult with our team today.

Name(Required)
This field is for validation purposes and should be left unchanged.