Patient Forms

Loeb Orthodontics provides the whole family with orthodontic services. Patients of all ages enjoy our helpful and friendly staff. We serve patients in Oakland, NJ and from the surrounding towns of Wayne, Wyckoff, and Franklin Lakes, NJ. As a new patient, complete a medical history form to make your first office visit as smooth as possible. We cannot wait to see your smile in our Oakland office! Resources for our New Orthodontic Patients

Thank you for choosing Loeb Orthodontics as your local orthodontic practice. Serving patients of all ages in Oakland, NJ and from the surrounding towns of Franklin Lakes, Wayne and Wyckoff, NJ, we want your treatment to be as effective and efficient as possible – and that includes time spent in the office!

In order to make your first office visit as smooth and easy as possible, we have provided our new patient forms below. You have the choice to submit your new patient forms electronically, or print, complete and bring them with you to your appointment. We appreciate your cooperation in helping us to provide you with prompt service.

Electronic New Patient Forms

Please click the link below to complete the electronic new patient forms. If you do not wish to complete these forms electronically, please complete the printable forms.

Printable Forms

If you do not want to submit your informatione elctronically, please print and complete the appropriate form below.


Schedule an Appointment Today!

If you have not already, please request an appointment online or call our office and we can direct you toward which forms to fill out and bring in. If you have any questions pertaining to the forms, please contact us and we will be happy to guide you through them. We are conveniently located in Oakland, NJ and serve patients of all ages throughout Bergen, Passaic and Morris Counties including Wayne, Franklin Lakes and Wyckoff. Thank you for your help in filling out the new patient forms early, and we look forward to seeing your smile soon!