La Habra Office : 562-690-1199
Chino Hills Office : 909-393-9911

2250 West Whittier Blvd. Suite 200, La Habra, CA 90631

15944 Los Serranos Country Club Dr #100, Chino Hills, CA 91709

Patient Forms

Save time at your first appointment!

Before your consultation, we’ll email you a welcome letter and an online link to complete all the necessary forms. It’s super-fast and there’s no need to print anything out. This will save time at the appointment. But don’t worry if you forget or don’t have time – we’re happy to provide an iPad when you arrive to quickly accomplish the forms.

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Patient Form Download

Please take a minute to print and fill out the patient information form before your first appointment.

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If you’re unable to open PDF files, you can get Adobe Reader® for free.

What to Do If You’re Unhappy with Your Mail-order Aligner Kit Results
What to Do If You’re Unhappy with Your Mail-order Aligner Kit Results

La Habra/Chino Hills, CA – Starting your orthodontic journey is exciting, but for some patients who choose mail-order aligner kits, that joy can turn into disappointment quickly. Dr. Robert Gire has discussed the dangers of these kits before, but now he discusses where to turn if… Read more »

Can I Get Braces on My Bottom Teeth Only?
Can I Get Braces on My Bottom Teeth Only?

La Habra/Chino Hills, CA – Some people may be perfectly content with part of their smile but may be self-conscious about another part. If you fall into that category, is it possible to get braces on only part of your teeth, such as just the top… Read more »

How Often Should I Change Rubber Bands?
How Often Should I Change Rubber Bands?

La Habra/Chino Hills, CA – During the course of orthodontic treatment, your orthodontist may prescribe the use of rubber bands. These rubber bands are an important component of your treatment plan because they can help your orthodontist achieve certain movements that are not possible with your… Read more »

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