Patient Forms

Online Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Printable Forms

Prior to your first visit, you can access our patient forms below. Please print, complete and bring it with you to your appointment. This will save you time when checking in.



*This form requires Adobe Acrobat Reader. Click the Adobe logo above to download.

  • Dr. Matt Gaworski Orthodontics - 6140 Tutt Blvd., Suite 250, Colorado Springs, CO 80923 Phone: 719-596-2477

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