Online Forms
Print Forms, Fill Out and Bring With You or Fax to: 205-978-8855
Thank you for contacting our office for an evaluation appointment. It will be our privilege to meet with you to address your orthodontic concerns.
The evaluation appointment usually involves information gathered by way of an oral exam, which may include digital photographs and/or a digital panograph x-ray, which will be discussed with you at the appointment.
To facilitate the appointment time in the office, make pertinent health information available for Dr. Browne prior to your appointment, which will make your visit as thorough and efficient as possible (we know your time is valuable), we have enclosed a Patient Information Form. If you have not filled this form out, please sign and fax to us at 978-8855 at your earliest convenience.
We look forward to meeting you and working with you to resolve any orthodontic problems you may have. If we can be of further assistance, please don’t hesitate to call.
Respectfully yours, Dr.Clark C. Browne Diplomate, American Board of Orthodontics
Please use this form to request an appointment. A member of our Team will contact you shortly.