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New Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the following forms, and bring them to your first appointment. Thank you!

For your convenience, we offer electronic and automatic payment options from a checking/savings account or through a debit/credit/FSA/HSA card. Download the appropriate form here:


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Trimmell & Anders Orthodontics

  • East Location - 2143 N. Collective Ln., Suite A, Wichita, KS 67206 Phone: (316) 260-6566 Fax: (316) 260-9959
  • West Location - 3933 N. Maize Rd., Wichita, KS 67101 Phone: (316) 260-6566 Fax: (316) 260-9959