Patient Forms

Save time at the Benkovich Orthodontics and fill out your registration and health history information online! Take a few minutes to fill out this confidential form, click the link below and fill out all information. When completed you will see "Submit Form" button at the bottom, and your information will be sent to our office with secure encryption. We will already have your information when you arrive for your first appointment. 

New patient form

COVID 19 FORM (to be filled out the day of your appointment):


american association of orthodontists middle atlantic society of orthodontists american dental association invisalign the clear alternative to braces Wilckodontis creating the perfect byte