To sign up as a new patient with us, please print out, and fill in this form. I am a parent requesting information. I am a patient requesting information. Name:  Mr.  Mrs.  Ms. Address: City: State: Zip Code: E-mail Address: Home Phone Number: Fax Number: Work Phone Number: Please contact me by phone.	Welcome About Dr. Dormanen Meet the Team Our Office Contact Us Maps and Directions New Patient Forms Common Problems Before and After Treatment Privacy Practices Your Right to Know First Days in Braces Eating with Braces Food For Thought Home Care Orthodontic Emergencies Broken Braces - Help! You Did It! Invisalign Patient Information Insurance Scheduling Appointments Patient Cooperation Bubba Buck$ In Office Contests Sterilization FAQ Feedback Fun Stuff Final Thought Disclaimer