---
title: Orthodontic Consultation Booking Form Template | Paperform
description: Professional orthodontic consultation booking form with dental history, insurance coverage, treatment concerns, and appointment scheduling. HIPAA-friendly and fully customizable.
url: "https://paperform.co/templates/orthodontic-consultation-booking-form"
type: static
generatedAt: "2026-03-28T00:44:41.868Z"
---

[← Back to free form templates](/templates/)    ![Orthodontic Consultation Booking Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/orthodontic-consultation-booking-form.png)
    [Preview](https://_preview.paperform.co/ai-template/orthodontic-consultation-booking-form) [Use this template for free](/create?ai-template=orthodontic-consultation-booking-form)    [Scheduling & Appointments](/templates/category/scheduling/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Dental](/templates/industry/dental/) [Dentist](/templates/role/dentist/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Simplify Orthodontic Consultations with Smart Online Booking

Finding the right orthodontic treatment starts with a thorough consultation. This **Orthodontic Consultation Booking Form** helps orthodontic practices, dental clinics, and smile specialists collect essential patient information, dental history, and insurance details—all before the first appointment.

Built with Paperform, this template replaces paper clipboards and phone tag with a professional, HIPAA-friendly alternative that patients can complete from home. Capture dental concerns, treatment preferences, insurance coverage, and x-ray authorization in one organized submission, giving your team everything they need to prepare personalized consultations.

#### Why Orthodontists and Dental Practices Choose This Template

Whether you're running a specialized orthodontic practice or a general dentistry office offering braces and aligners, this form gives you:

 - **Integrated appointment scheduling** that syncs with your calendar
 - **Complete dental and medical history** collection before patients arrive
 - **Insurance verification details** to streamline billing and coverage checks
 - **Treatment concern documentation** so you can prepare tailored recommendations
 - **X-ray and records sharing authorization** for seamless care coordination

With Paperform's calculation engine and conditional logic, you can customize follow-up emails based on treatment interests, route urgent cases to priority slots, or trigger different workflows for pediatric versus adult consultations.

#### Automate Beyond the Booking

Connect this form to your practice management software via **Stepper** (stepper.io) to automatically create patient records, send appointment reminders via SMS, update your CRM, and notify your team when a new consultation is booked. If you need signed consent for x-ray transfers or treatment plans, use **Papersign** (papersign.com) to send agreements for eSignature right after submission.

This template is perfect for orthodontists, cosmetic dentists, pediatric dental specialists, and multi-location dental groups looking to deliver a modern patient experience from the very first touchpoint. Trusted by healthcare providers worldwide, Paperform offers SOC 2 Type II compliance and secure data handling to keep patient information protected.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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