Orthodontic New Patient Registration Form
About this free form template

Managing orthodontic patient onboarding can be time-consuming, especially when juggling paper forms, insurance details, and treatment consultations. This Orthodontic New Patient Registration Form streamlines the entire intake process by collecting everything you need—from medical history to bite concerns to payment preferences—in one professional, easy-to-complete form.

Designed specifically for orthodontic practices, this template helps you gather critical information before the first appointment, saving chair time and improving the patient experience. Collect dental history, current concerns, previous orthodontic work, and treatment goals upfront so your team can prepare personalised consultations. The form includes sections for insurance details and flexible payment arrangements, making financial discussions smoother from day one.

Paperform's conditional logic means you only ask relevant follow-up questions based on patient responses, keeping the form concise and user-friendly. Parents can complete forms on behalf of minors, and all submissions sync directly to your practice management software via Stepper (stepper.io) or native integrations with tools like Google Sheets, Airtable, or your CRM.

Use Papersign (papersign.com) to automatically turn completed registrations into consent forms, treatment agreements, or financial arrangements that patients can sign digitally—keeping everything organised and compliant in one seamless workflow.

Whether you're a boutique orthodontic practice or a multi-location clinic, this form template is designed to reflect your professional brand while making new patient registration effortless for families and your front desk team alike.

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.