New Patient Resources

Patient Information

Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.

Patient Information Form

Download for Children

Patient Information Form

Download for Adults

Notice of Privacy Practices

Notice of Privacy Practices for Rosenberg Orthodontics - Canton

Notice of Privacy Practices

Notice of Privacy Practices for Rosenberg Orthodontics - Newington

Notice of Privacy Practices

Notice of Privacy Practices for Rosenberg Orthodontics – West Hartford

Notice of Privacy Practices

Notice of Privacy Practices for Rosenberg Orthodontics - Wethersfield

*Individual results are not guaranteed and may vary from person to person. Images may contain models.