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    • Meet Dr. Shems
    • Meet Our Team
  • Services
    • View All Services
    • Types of Braces
    • Invisalign
    • iTero Scanner
  • Patient Info
    • View All Patient Info
    • Patient Safety
    • Why Orthodontics?
    • First Visit
    • First Days in Braces
    • Early Treatment
    • Braces Care
    • Orthodontic Emergencies
    • Office Policies
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FORMS

Patient Forms


Patient Forms

Please click on the links below to access our forms. Please complete the forms prior to your appointment and bring your insurance card to your appointment. If you are unable to access the forms, please plan to arrive 10-15 minutes early for your appointment so that you can complete them in our office.

Patient Information Form – Child
Patient Information Form – Adult
Insurance Verification Form
Patient Referral Form
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Michele Shems DMD
202 US Route 1 Falmouth, ME 04105
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