Patient Forms

In order to make things as easy as possible for our new patients, Miles of Smiles is happy to provide our forms online, so you can fill them out prior to your initial visit with our caring orthodontists in Temecula, Hemet, Murrieta and Corona, California. By having these forms completed ahead of time, you can see Dr. Tal Jergensen, Dr. Scott Hope or Dr. Samuel Waddoups even sooner! If you have any questions, please do not hesitate to contact us.

View Online Patient Form

View Printable Patient Form