• Trimmell and Anders Orthodontics
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New Patient Forms

Download New Patient Form - English [PDF - 638kb]

Download New Patient Form - Spanish [PDF - 722kb]

Download HIPAA Privacy [PDF - 43kb]

Download Easy Pay Consent Form[PDF - 265kb]

patientforms

East Location: 2143 N. Collective Ln., Suite A • Wichita, KS 67206 • Phone: 316-260-6566 • Fax: 316-260-9959

West Location: 10318 W. Maple St. • Wichita, KS 67209 • Phone: 316-260-6566 • Fax: 316-260-9959 • E-mail: braces@trimmellortho.com

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