(925) 228-8330
2805 Alhambra Ave. Martinez, CA
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Our Social
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  • Office Info
    • Meet Dr. Harper
    • Meet the Staff
    • Our Community
    • Financial & Insurance
    • Locations
      • Martinez CA
      • Pleasant Hill CA
  • Patient Info
    • Before & After
    • Videos
    • General Care
    • Common Problems
    • Patient Forms
    • Blog
  • Appointments
  • Contact Us
  • COVID-19 Info
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Home » Patient Forms

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Call us: (925) 228-8330 - OR - Book an Appointment

Patient Forms

Come Prepared!

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.
  • Patient Referral Card
  • Child Health History
  • Adult Health History
  • Informed Consent
  • COVID-19 Informed Consent
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*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.

Pages

  • Home
  • Contact Us
  • Appointments
  • Meet Dr. Harper
  • Meet the Staff
  • Our Community
  • Financial & Insurance
  • Patient Forms
  • Common Problems
  • General Care
  • Before & After
  • Videos
  • Blog
  • Harper Orthodontics COVID-19 Information
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Book Appointment
Quickly book an appointment today! Our office admin will follow up to confirm your date and time.
Book Appointment
Or call:
(925) 228-8330
02
Find Us
2805 Alhambra Ave, Martinez, CA (click for Google Maps)

Directions:

  • From John Muir Pkwy, get off on Exit 9 (Alhambra Ave)
  • Turn north on Alhambra Ave, towards Alhambra High School
  • In 1 mile Harper Orthodontics will be on your right-hand side
  • Use the driveway and park in back
03
Our Social
  • Office Info
    • ← Back
    • Meet Dr. Harper
    • Meet the Staff
    • Our Community
    • Financial & Insurance
    • Locations
      • ← Back
      • Martinez CA
      • Pleasant Hill CA
  • Patient Info
    • ← Back
    • Before & After
    • Videos
    • General Care
    • Common Problems
    • Patient Forms
    • Blog
  • Appointments
  • Contact Us
  • COVID-19 Info
  • Office Info
    • ← Back
    • Meet Dr. Harper
    • Meet the Staff
    • Our Community
    • Financial & Insurance
    • Locations
      • ← Back
      • Martinez CA
      • Pleasant Hill CA
  • Patient Info
    • ← Back
    • Before & After
    • Videos
    • General Care
    • Common Problems
    • Patient Forms
    • Blog
  • Appointments
  • Contact Us
  • COVID-19 Info