New Patient Forms

Online Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Printable Forms

You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.


Get Adobe ReaderThese forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.

iTeroInvisalignInvisalign TeenDamonAmerican Dental AssociationAmerican Association of Orthodontists

Schmidt Orthodontics

  • Schmidt Orthodontics - 888 Feinberg Court, Cary, IL 60013 Phone: 847-516-2010 Fax: 847-516-2310

2019 © All Rights Reserved | Website Design By: West | Login