Patient Information

FORMS

At Labbe Family Orthodontics we value your time and your privacy. We’ve provided copies of our new patient information forms for you to download, print, and complete at home. You may bring them into our office during your next visit. Labbe Family Orthodontics follows Federal HIPAA requirements for maintaining patient privacy and healthcare portability.

Click on the link to access and fill out our Secure Online Patient Health History Form

Or, click here to download and print the forms, fill them in, and return them to our office. If you’re unable to read PDF files, you can download Acrobat Reader free from Adobe.

TELL US MORE ABOUT YOU!

We would love to hear all about you and get to know you better! Please take a few moments to fill out this fun and easy form and tell us more! If there is something great about you and we didn’t ask about it on this form, let us know when you come in for your New Patient Consultation! You can click here to print out the form and then be sure to bring it with you when you come in for your appointment.

DIRECT PAYMENT SHEET

NEW DIRECT PAYMENT OPTION AVAILABLE

Now you can have your payments automatically debited from your checking or savings account. You will never have to write another check or worry about when payments are due. It’s convenient, secure and best of all it costs you nothing!

Click here to print out the Direct Payment Form. Then send it in to our Annapolis office.

Labbe Famly Orthodontics
Attn: Billing Dept.
114 Forbes Street
Annapolis, MD 21401

We take matters of patient privacy and confidentiality seriously and adhere to national guidelines for the protection of your personal health information. To review our HIPAA (Health Insurance Portability and Accountability Act) guidelines, please click here.

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