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  • About Us
    • Dr. Meredith L. Quimby
    • Dr. Kelly A. Collins
    • Our Staff
    • Financial and Insurance
  • Treatment
    • First Visit
    • Patient Forms
    • Early Treatment
    • Teen and Adult Orthodontic Treatment
    • Braces
    • Invisalign
    • Retention Retainers
    • Myofunctional & Airway Therapy
    • Orthognathic Surgery
    • Craniofacial Cleft Lip Palate
    • Non-Surgical Options
    • FAQ
  • Technology
  • Get in Touch
    • Map and Directions
    • Job Postings
    • Appointment Request
  • Videos & Blog
Menu
  • Home
  • About Us
    • Dr. Meredith L. Quimby
    • Dr. Kelly A. Collins
    • Our Staff
    • Financial and Insurance
  • Treatment
    • First Visit
    • Patient Forms
    • Early Treatment
    • Teen and Adult Orthodontic Treatment
    • Braces
    • Invisalign
    • Retention Retainers
    • Myofunctional & Airway Therapy
    • Orthognathic Surgery
    • Craniofacial Cleft Lip Palate
    • Non-Surgical Options
    • FAQ
  • Technology
  • Get in Touch
    • Map and Directions
    • Job Postings
    • Appointment Request
  • Videos & Blog

Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.

  • New Patient Form – Child
  • New Patient Form – Adult
  • Quimby and Collins Orthodontics Notice of Privacy Practices
  • Acknowledgement of Privacy Practices
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Quimby and Collins Orthodontics
8125 Ardrey Kell Rd.,
Charlotte, NC 28277 

Phone: 704-443-0006

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