We have provided your patient forms online for your convenience. Please complete your forms prior to your appointment with Dr. Mark DeMaria or Dr. Sean Gill. This will help us prepare to meet with you and streamline your experience at DeMaria Family Orthodontics & Dentistry after you arrive. If you have any questions or would like to schedule a consultation with our orthodontist or pediatric dentist in Greensburg and Export, Pennsylvania, contact our team today.

Online Forms

Adult Patient Form
Child Patient Form

Printable PDFs

Adult Patient Form
Child Patient Form
HIPAA Consent Patient Form