New Patient Forms

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New Patient Forms

At Levine Orthodontics, we believe that finances should not get in the way of a great smile. With this fact in mind, we allow you to customize your own financial terms. You will have the peace of mind of knowing your plan matches your unique financial situation. Our goal is to eliminate any financial obstacles our patients may have which will allow them to get the treatment they deserve. If you are eligible for orthodontic benefits under your Insurance plan, we will help you with this as well.

Please fill out our New Patient OrthoFi forms by clicking here. The registration for new patients is below the green “log in” button.