DeLurgio & Blom Orthodontics New Patient Forms

The DeLurgio & Blom patient forms below will provide us with important health history information. This will help us provide you with the best orthodontic care possible and also to help expedite the check in process. Please print out the appropriate form below, fill it out and bring with you on the day of your appointment. We look forward to meeting you!

  • delurgio blom orthodontics adult patient forms
  • delurgio blom orthodontics childrens patient forms

SEE WHY PATIENTS LOVE OUR AWARD-WINNING SACRAMENTO ORTHODONTIST FOR BRACES & INVISALIGN
*The reviews on this page are from actual patients of DeLurgio & Blom. Individual results may vary. Reviews are not claimed to represent results for everyone.
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916.436.8378
Contact Our 5-Star-Rated Citrus
Heights, CA Orthodontist Today!

8035 Madison Avenue Suite G2,
Citrus Heights, CA 95610
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Our Fair Oaks, CA, orthodontist and Citrus Heights, CA, orthodontist offer the most advanced braces for children and braces for adults. These types of braces include metal braces, clear braces, self-ligating braces and Invisalign. We can even help you get straight teeth faster with AcceleDent.
Come experience DeLurgio & Blom Orthodontics! You will see for yourself that our greater Sacramento orthodontist offers effective and affordable braces in Citrus Heights, Fair Oaks, Folsom, Orangevale, Carmichael, Rancho Cordova, Gold River, Roseville, Granite Bay and Sacramento, CA.
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