Wyo Ortho
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Wyo Ortho
  • Home
  • About
  • Services
  • Gallery
  • Contact
  • NEW PATIENT PAPERWORK

Paperwork needed for first visit

To help avoid delays, please fill out the following forms and bring them with you to your first visit.

New Patient Form (pdf)

Download

Supplemental Health Questionnaire Covid-19 (pdf)

Download

Supplemental Informed Consent in Covid-19 Era (pdf)

Download

Name Image and Video Release (pdf)

Download

Additional paperwork for medicaid patients

T-19 Medicaid Clearance for Orthodontic Consult (pdf)

Download
  • Home
  • About
  • Services
  • Gallery
  • Contact
  • NEW PATIENT PAPERWORK

Wyo Ortho

814 S David St Casper, WY 82601

(307) 237-1639

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