Whether visiting our Hermitage or Greenville, Pennsylvania, office, we want to make sure your first visit with our orthodontist is as efficient and convenient as possible. To that end, you will receive a packet of information in the mail including a medical history form. Please complete the front and back of the form and bring it to your appointment at Gulland Orthodontics. If there is not time for you to receive a form by mail or if you misplaced it, you can print a copy below and return it to your appointment. Dr. Charles Gulland and our team look forward to seeing you soon.

ADULT DOWNLOADABLE MEDICAL HISTORY
View Adult Form

YOUTH DOWNLOADABLE MEDICAL HISTORY
View Youth Form