Smiles for Life Orthodontics

Irelia Machado DDS, MS
Fernando Vignolo DDS, MS

4030 Justin Road (FM 407), #100
Flower Mound, TX 75077
(940) 295-4188

Patient Forms

photo of woman and girl smiling

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

» Patient Form (Child) [PDF] | [DOC]
» Patient Form (Adult) [PDF] | [DOC]
» Patient Form (Child & Adult) [PDF] | [DOC]
» Online Health History Form [Click Here]

If you're unable to open PDF files, you can get Adobe Reader® for free.

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