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New Patients

New Patient Forms

At We Build Smile Appeal, Dr. Mark Youngker and his team know that your time is precious.  In an effort to say you time, please click the links below to fill out our New Patient Forms ahead of time.  Bring the completed form to your initial consultation so that we can help you in the most efficient way possible.

Our consultation days are designed to provide our patients with the overall practice experience, and will last longer than a normal visit.  We ask all patients to allocate at least (2) hours to complete the initial consultation visit. Patients should be prepared to meet with the doctor for an examination, have x-rays taken, and consult with a financial adviser.  If you have orthodontic insurance, please bring your insurance card and provide a valid state issued ID.