Patient Forms

It Starts With a Smile

Dr. Brent Rickheim wants your orthodontic care to go as smoothly as possible. We can do this to have you complete your patient forms online before your first appointment. Please take a minute to fill out the patient history form before your first visit and read through our HIPAA Notice of Privacy Practices, which you will sign during your first visit.

Patient History Form

HIPAA Notice Of Privacy Practices

Patient Satisfaction

At Peach Orthodontics, we want to ensure that every patient is more than happy with their smile. We’ve gone out of our way to make sure that your smile is future-proof. That’s why we offer our Retainers For Life and Smile Guarantee programs. These programs are designed so that you never have to worry about the future of your smile. To learn more, download the forms below!

Smile Guarantee

Retainers For Life