Patient Online Forms

The following forms are available for your convenience. To expedite your first check in procedure, please fill these forms out and bring them with you to your first appointment or email them directly.

***Note: To open the files below you may do the following: Click the link to open up the document in a browser window (if you get a user login and password screen, please ignore it by hitting cancel. The document will still open); or you may also download the file by right-clicking the link, then saving the target source to your hard drive. Just note the location you saved the file for future reference.

*** Orthodontic ONLY Forms ***

Please use the forms below "ONLY" if you are submitting for LWSS Orthodontics
- Fun Form Ages 10 and Below (pdf)
- Adult Medical History 18 and Over (pdf)
- UNDER 18 Medical History (pdf)
- Informed Consent (pdf)
- Child Authorization (pdf)
- Adult Authorization (pdf)
- LWSS Orthodontics Policies (pdf)

Why choose LWSS?

Experienced Staff

We have served the area for decades and grown by having the best staff of professionals in our practices.

Multiple Locations

6 locations for your convenience with multiple services at several practices

Pro-Scheduling

We work hard on scheduling to minimize the time you spend waiting and making your visit pleasant.

LWSS Dental Plan

We offer an affordable, yearly dental care plan for those without insurance.