2:09 Patient Forms - Humphrey Orthodontics
  • Wentzville phone icon 636-332-5550 636-442-0446 location icon1139 Wentzville Pkwy.
  • St. Peters phone icon (636) 242-5349 636-442-0446 location icon 1335 Queens Ct.
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  • About Us
    • Meet Dr. Humphrey
    • Testimonials
    • Office Tour
    • Serving the Community
    • Smiles Change Lives
    • Blog
    • Careers
  • New Patients
    • Why Choose Us
    • Your First Visit
    • Free Exam
    • Cost & Insurance
    • Patient Forms
  • Our Treatments
    • Invisalign
    • Invisalign for Teens
    • Clear Braces
    • Metal Braces
    • Orthodontics for All Ages
    • Ortho Info
  • Before & Afters
  • Contact Us
    • Free Exam
    • Virtual Exam
    • Virtual Appointment
    • Refer a Friend
    • Reviews
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  • Wentzville
    phone icon 636-332-5550 636-442-0446 location icon1139 Wentzville Pkwy.
    Wentzville, MO 63385
  • St. Peters
    phone icon636-242-5349 636-442-0446 location icon 1335 Queens Ct.
    St. Peters, MO 63376

Patient Forms

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To fill out your health history before your first visit or to update your information, please complete this online form.

Health History Form Yearly Update Form TMJ Questionnaire COVID-19 Screening Form

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St. Peters

1335 Queens Ct.
St. Peters, MO 63376 Call: (636) 242-5349 Text: 636-442-0446

Humphrey Orthodontics Logo

Wentzville

1139 Wentzville Pkwy.
Wentzville, MO 63385 Call: 636-332-5550 Text: 636-442-0446

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