Patient Forms

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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 the 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

For your convenience, you may download and print the following form and bring it to your next appointment:


Get Adobe Reader

*This form requires Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.

Kyler Orthodontics

  • Main Office - 11964 Coursey Blvd., Baton Rouge, LA 70816 Phone: 225-292-8010
  • Denham Springs - 615 Williams St., Denham Springs, LA 70726 Phone: 225-292-8010
  • Plaquemine - 23811 Eden St., Plaquemine, LA 70764 Phone: 225-292-8010
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