Dr. Jack Sahlaney, DMD
South Hills Village
Suite 205
Pittsburgh, PA 15241
412-833-3922
Sahlaney Orthodontics

American Association of Orthodontists

Invisalign Certified


Patient Forms

You are welcome to download any of these documents that you find of interest.  If you are a new patient, for your convenience you may print the forms and complete them before coming to the office.   That way you won't have to come to the office early to fill out the forms.

Dental Insurance Form   (print and complete)
Orthodontic Acquaintance Form   (print and complete)
HIPPA Notice   (read)
Privacy Practices Consent   (print and complete)

You will need Adobe Acrobat Reader to view these documents. If you do not have Adobe Acrobat reader on your computer, you may click on this link to download it for free: http://www.adobe.com/products/acrobat/readstep2.html

Follow the directions to download the reader.  After you have done so, click on the document links to view the forms.  To print it, click on the print icon or go to File... then choose Print to print the forms.

Forms


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