Dental Tooth Repositioning Consultation Form
About this free form template

Streamline Tooth Repositioning Consultations with Paperform

When patients present with complex tooth repositioning needs—whether due to trauma, periodontal issues, or orthodontic requirements—gathering comprehensive clinical information is essential for treatment planning. This Dental Tooth Repositioning Consultation Form helps orthodontists, periodontists, and general dentists collect detailed patient history, clinical findings, and treatment preferences in one organized, professional format.

Built for Specialty Dental Practices

This template is designed specifically for dental professionals managing cases involving orthodontic extrusion or intrusion, periodontal considerations, and splinting requirements. The form guides you through patient demographics, dental history, clinical assessment, diagnostic imaging review, and treatment planning—ensuring nothing is overlooked before beginning repositioning procedures.

Paperform for Dental Practices

Paperform makes it easy to create on-brand patient intake forms that work seamlessly across devices. Patients can complete forms from home before their appointment, saving valuable chair time. With conditional logic built in, the form adapts based on patient responses—showing relevant follow-up questions only when needed.

Connect your form to your practice management software, automatically send confirmation emails with pre-appointment instructions, and keep all patient data secure with SOC 2 Type II compliance. For practices managing multiple locations or providers, Paperform's team features let you customize forms by specialty while maintaining consistent branding.

Automate Your Dental Workflow

Use Stepper to turn each consultation submission into an automated workflow: create treatment plans, schedule follow-up appointments, send lab orders, and coordinate between your orthodontic and periodontal teams—all triggered automatically when a patient submits their form.

Whether you're a solo practitioner or part of a multi-specialty dental group, Paperform helps you deliver a professional patient experience while streamlining your clinical documentation and treatment planning process.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.