Patient Forms

For your convenience, you may download, print and fill out the following forms and bring them to your next appointment.

Graduate Clinic Forms:

• New Patient Registration Form and Medical and Dental Questionnaire
• Release of Orthodontic Records Form

Faculty Practice Forms:

• New Patient Registration Form
• Medical and Dental Questionnaire
• Release of Orthodontic Records Form

**Please use umortho@umn.edu to send or receive records** ​

*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.