Patient Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Wiregrass Orthodontic Specialists

  • Dothan Office - 100 O’Brannon Park Dr., Dothan, AL 36303 Phone: 334-792-1000
  • Enterprise Office - 557 Glover Ave. #1, Enterprise, AL 36330 Phone: 334-347-6777
  • Ozark Office - 317 James St., Ozark, AL 36360 Phone: 334-792-1000

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