New Patient Forms

Over 20,000 Happy Smiles Transformed Since 1978

To save time during your initial visit to Burrow and Welchel Orthodontics, please take a moment to download, print, and fill out the new patient forms below. Please bring the completed forms with you to your appointment – we can’t wait to meet you!

insurance information form

Insurance Information Form

patient acquantience form

Patient Acquaintance Form

notices of privacy practices

Notices of Privacy Practices

hippa notice

HIPPA Notice

As one of the premier orthodontic practices in Charlotte & Steele Creek, NC & Rock Hill, SC, our team at Burrow and Welchel Orthodontics also provides 5-star-rated orthodontic care to children and adults in Myers Park, Uptown, SouthPark, Elizabeth, South End, Plaza-Midwood & Dilworth, NC, and Indian Land, Fort Mill, Riverwalk & York, SC, and surrounding areas.