Patient Forms

Please take a minute to fill out the patient information form before your first appointment:

Please check our HIPAA Notice of Privacy Practices

Do not print the form; once you hit the "submit" button we will receive it in our secure server.

Por favor mira a HIPAA Notice of Privacy Practices

Por favor no imprima la forma, una vez que presione el boton de enviar la recibiremos en nuestro servidor.

Patient
Reviews

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My daughter required extensive orthodontic treatment; she was both nervous and embarassed about her smile. The team at Atique made her feel at home and very comfortable during her time with them. Here we are, two years later, and her braces are coming off this morning. My daughter's smile is beautiful, and she can't stop smiling.

~ Joshua Perkins

In the year it took for my orthodontia treatment, I always had a good visit with the staff at Atique Orthodontics. Dr. Atique, along with her whole staff, were always friendly and made the visit fun and exciting. I will recommend anyone who asks where I received my orthodontia treatment to Dr. Atique!

~ SGT Aaron Sheets, US Army

We have received outstanding orthodontic treatment at Atique Orthodontics as well as friendly and personal customer service. Dr. Atique and her staff always make sure our needs are met and give that extra mile in service that makes me feel confident that we have the best!

~ Rossana Buffolo