Patient Forms

h-braces4

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.

I Am Ready to Start with a FREE Consult!

Request an Appointment

Hartsock and Sword Orthodontics

  • Hartsock and Sword Orthodontics - 161 College St., Suite 3, Pikeville, KY 41501 Phone: 606-432-3603 Fax: 606-432-5330

2019 © All Rights Reserved | Website Design By: West | Login