Printed from: 125th Street Orthodontics
Harlem Invisalign and Braces

Patient Forms for 125th Street Orthodontics


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Medical HistoryImportant! Printing and filling out this form before a patient’s first visit to our office will speed the visit along

Palatal Expander – Life with your Palatal Expander!

Life With Orthodontic Appliances – These instructions are VERY important! Please hang these up in your room or somewhere you can read them often during the course of your treatment!

Wearing your Rubber Bands – Sometimes, we want to make sure that the relationship between the top teeth and the bottom teeth are correct. Often, we use rubber bands to do this.

Spacers – Spacers are placed between some of your back teeth to make it easier to place certain appliances.

Instructions for Retainers – Here are some tips on how to take care of your retainer. Don’t forget to bring your retainers next time you come!

125th Street Orthodontics Kenneth B. Cooperman, DMD and Maggie R. Mintzberg, DDS 360 W. 125th Street, Suite 8, New York, NY 10027 - Tel: (212) 222-3210
Modern Orthodontics - Kenneth B. Cooperman, D.M.D. and Maggie R. Mintzberg, D.D.S.
360 W. 125th Street 2nd Floor, NY NY 10027 */