Please complete our patient forms before your appointment with our orthodontist. Filling out your paperwork in advance helps us keep Dieguez Smiles running smoothly and on-schedule. If you need help with your forms or have any questions, we invite you to contact our practice at 205-980-4744 (Oak Mountain) 205-785-3179 (Fairfield). We will be happy to assist you!
In order to submit the online forms you must use the Google Chrome web browser. Click here to download.
New Patient Adult Form
New Patient Child Form