Patient Forms

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

  • New Child Form
  • New Adult Form
  • Insurance Consent Form
  • Pictures and X-Ray Consent Form

adobeThese 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.

 

 

 

  
    • Meet Dr. Vinson
    • Meet our Team
    • Our Locations
    • Office Policies & Vision
    • Testimonials
    • Contact Us
    • Appointment Request
    • First Visit
    • Patient Forms
    • Financial & Insurance
    • FAQ
    • Before & After
    • Patient Gallery
    • Oral Hygiene
    • Common Problems
    • Emergency Info
    • Eating with Braces
    • Parts of Braces
    • Links
    • Glossary
    • Early Treatment
    • Adolescent Treatment
    • Adult Treatment
    • Technology
    • Types of Appliances
    • Damon® System
    • Insignia
    • Invisalign®
    • Retention
    • Jaw Surgery
    • Contests & Events
    • Rewards Program
    • Community
    • Referral Rewards Program
    • In the News
    • Vinson Orthodontics Scholarship Program
    • Games
    • Related Links
    • Be an Orthodontist
    • Vinson Events
  • Home
  • Office Info
  • Meet Dr. Vinson
  • Meet our Team
  • Our Locations
  • Office Policies & Vision
  • Testimonials
  • Contact Us
  • New Patients
  • Appointment Request
  • First Visit
  • Patient Forms
  • Financial & Insurance
  • Patient Info
  • FAQ
  • Before & After
  • Patient Gallery
  • Oral Hygiene
  • Common Problems
  • Emergency Info
  • Eating with Braces
  • Parts of Braces
  • Links
  • Glossary
  • Treatment
  • Early Treatment
  • Adolescent Treatment
  • Adult Treatment
  • Technology
  • Types of Appliances
  • Damon® System
  • Insignia
  • Invisalign®
  • Retention
  • Jaw Surgery
  • Fun Zone
  • Contests & Events
  • Rewards Program
  • Community
  • Referral Rewards Program
  • In the News
  • Vinson Orthodontics Scholarship Program
  • Games
  • Related Links
  • Be an Orthodontist
  • Vinson Events
  • Patient Login
  • Bracket Buddies
  • Bracket Club

Smithfield Office: 706 B Wilkins St. | Smithfield, NC 27577 | Phone: (919) 934-1155 | Fax: (919) 938-2779
Wake Forest Office: 1890 South Main St., Suite 202 | Wake Forest, NC 27587 | Phone: (919) 554-6506 | Fax: (919) 554-0773
Clayton Office: 664 Hwy., 42 West | Suite 100 | Clayton, NC 27520 | Phone: (919) 359-1904 | Fax: (919) 359-1906
2010 © All Rights Reserved • Privacy Policy • Orthodontic Website Design By: TeleVox®
Administration