New Patient Information

Download Your Patient Forms Quickly and Easily

Download and print out your patient forms prior to your first appointment at Dieguez Smiles Orthodontics to save time and keep us running smoothly and on schedule! If you have any questions regarding your forms, please contact us at our Birmingham or Fairfield location.

Learn About Our Payment Options

We believe finances should never prevent you from getting the orthodontic treatments you need. Our orthodontist and team will work with you to create a customized financial plan that suits your budget and allows you to receive the orthodontic care you deserve.

We accept all orthodontic insurances and file claims for you in our office. Our other payment options include:

• Cash
• CareCredit
• Check
• All major credit cards (American Express, Discover, Flex Plans, MasterCard, Visa)
• In-house financing with no interest: our in-house payment options include four payment options tailored to your monthly budget with an option for no down payment

If you have any questions regarding the insurances we accept or the payment options we provide, contact us today! We will be happy to explain our financial options and work with you to ensure you can receive the treatments you need.