Patient Forms
Medical History
Our Medical History forms are easily accessible via a secure form or download.
Click on the link below to access and fill out our
Secure Online Patient Health History Form
Or to download and print the forms, fill them in, and return them to our office.
If you're unable to read PDF files, you can download
Acrobat Reader free from Adobe.
Direct Payment Sheet
NEW DIRECT PAYMENT OPTION AVAILABLE
Now you can have your payments automatically debited from your checking or savings account. You will never have to write another check or worry about when payments are due. It's convenient, secure and best of all it costs you nothing!
Click below to print out the Direct Payment Form. Then send it in to our Annapolis office.
Stewart & Labbe Orthodontics
Attn: Billing Dept.
114 Forbes Street
Annapolis, MD 21401
To print out the form in WORD format please click here.
To print out the form in PDF format please click here.
We take matters of patient privacy and confidentiality seriously and adhere to national
guidelines for the protection of your personal health information. To review our HIPAA (Health Insurance Portability and Accountability Act) guidelines, please click HERE.
