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Creating Smiles, Changing Lives

New Patient Forms

Here at Levin Orthodontics, we want to make your first visit with pleasant and as easy as possible. To allow us to better focus on you and how we can provide you with the best care, we have provided you with the health history forms that will need to be completed ahead of your visit

Please complete the appropriate Adult or Child New Patient Form, and then simply click the submit button at the bottom of the form

Adult Health History

Child Health History


If you have any questions at all please feel free to Contact us at (303) 366-9090

Why Our Patients Love Us

  • Proud Invisalign Elite Provider

  • Highly Skilled, All-Female Team

  • State-of-the-Art Orthodontic Technology

  • Financing Options Available

  • Eco-Friendly, Paperless Practice