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10605 Spring Green Blvd #300
Katy, TX 77494
p. 281.394.9300    f. 281-394-5337

Orthodontist in Katy TX Dr. Liana Medina Invisalign Clear Braces in Katy TX Bilingual Orthodontist
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Health History Forms

Online Submit Health History Forms

Complete the online New patient Health History Form below prior to your first visit to our office.
New Patient Health History Form - English

Printable Health History Forms

Print and complete the appropriate form below prior to your first visit to our office.
Health History Form - Under 18 English Spanish
Health History Form - Adult English Spanish