Forms | Wazio Orthodontics
beautiful smiles for a lifetime


Thank you for choosing Wazio Orthodontics for your new smile. We look forward to meeting you on your first visit to our office. During this time, we will help you get acquainted with our office and learn about what you would like to achieve through orthodontic treatment. Whether you are interested in Traditional Metal Braces, Clear Braces, Invisalign, Invisalign Teen or Invisalign First, our team understands that each patient has unique needs, and we promise to give you the personal attention you deserve.

After we have evaluated your records, we will conduct a treatment consultation to explain all aspects of your orthodontic treatment in detail. We will provide a complete clinical diagnosis regarding the nature of the problem, a written summary of the findings and a detailed plan that outlines your treatment, our goals, and the estimated fees.

We understand that choosing to receive orthodontic care is a big decision, and we respect your reasons for wanting to improve the way you look and feel. Our practice will work with you every step of the way to make sure your orthodontic care is as rewarding as possible. We utilize the latest technology and offer a variety of safe and gentle treatment options to give you the customized, individual care you deserve. With orthodontic offices in Batavia and St. Charles, the goal at Wazio Orthodontics is to give you the healthy, straight, and beautiful smile you have always wanted.

Please take a minute to complete the patient information forms below before your first visit to Wazio Orthodontics. A thorough medical history is essential to a complete orthodontic evaluation. Please know that your answers are for office records only and are completely confidential.

Click below to access our forms.

Orthodontic Insurance Information Form

Online Health History Form

General Office Policies Form (PDF)

Treatment Consent Form (PDF)

Privacy Notice Form (PDF)

Acknowledgement of Review of Privacy Practices (PDF)

Photography Release Form (PDF)

General Contest Rules (PDF)

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950 W. Wilson Street
Batavia, IL 60510 • 630.879.7774
403 S. 3rd Street
St. Charles, IL 60174 • (630) 584-6050