Arriving prepared for the first appointment for braces at Spark Orthodontics will ensure that you or your child has a positive experience when beginning to ignite that new smile they’ve always dreamed of.
Please download the form that applies, print, fill out, sign and include as much information as necessary.
Adult History Form
Child History Form
Adult History Form (Spanish)
Child History Form (Spanish)
Please scan and email the form to info@SparkOrthodontics.com so that we may expedite your wait time.
If you have no way to submit the Health History Form via email, please print it out, fill it in, and bring it with you when you come to our Reading, Camphill, Harrisburg, Bethlehem, Schnecksville, Pottsville, Lancaster, York, Hazleton, or Danville, PA orthodontic office.
Your privacy is of our utmost concern. Please read the Spark Privacy Practices documents thoroughly before your visit. They describe your rights and how any medical information about them may be used and disclosed. They will also tell you how to gain access to this information.
Please contact us at 610.865.2777 or simply click here.
Come experience Spark Orthodontics! You will see we offer affordable orthodontics in Bethlehem, PA, Reading, PA, Camp Hill, PA, Harrisburg, PA, Schnecksville, PA, Pottsville, PA, York, PA, Lancaster, PA, Hazleton, PA, and Danville, PA.
Spark Orthodontics can help you or your loved one achieve a smile that benefits dental health as much as it increases confidence. However, we want you to feel confident that your choice in a PA orthodontist, is the right one. Follow the steps below and get that smile you have always dreamed of.
