Johnsonlink Orthodontics would like to welcome you to our practice. Prior to your initial consultation with us, please fill out the registration and medical history form below. Doing so will minimize the amount of time filling out paperwork at your appointment so that they doctor and staff can focus more on your treatment. Please fill out the form completely and include all insurance information so that we can inform you of your coverage at your appointment. Your insurance will not be billed for your initial consultation, as these are complimentary. 

The form can be saved and completed at a later time if you get interrupted while filling it out. Just click on "Save for Later" at the bottom of the form.  

If filling out form for a minor, please fill in this section completely.

If the patient is an adult and responsible for themselves, then fill in this section with the patient's information

Insurance information needs to be completely and accurately filled out in order to inform you of your coverage

Please fill in the explanation boxes provided for all 'yes' answers

Appointment reminders via text messages are very convenient. Please include your provider to be included in this service.

Quick Links
  • facebook-square
  • Instagram Basic Black
  • Twitter Square
  • google-plus-square
Current Office Hours 

It’s that time of year again where the possibility of facing icy and snowy road conditions may occur. The safety of our patients and team here at Johnsonlink Orthodontics is our number one priority.

In the event of a delay or closure, please know that we follow the school district's inclement weather schedules.

Stay safe & warm!
Johnsonlink Orthodontics

© 2015 by Johnsonlink Orthodontics, PLLC