Image Orthodontics | Dr. Yan Kalika | Specializing in Braces in San Francisco and Sacramento, Orthodontics in San Francisco and Sacramento, Invisalign in San Francisco and Sacramento | Serving the San Francisco, Sacramento and Glendora, Chico, Yuba City and Vacaville areas of California

Patient Forms

You can help us expedite the assessment process by providing following information at the time of your first visit:

  • Any panoramic X-ray taken within the past six months.
  • If you have orthodontic insurance, bring your insurance card. By providing this information at the first visit, we will be able to give you an estimate of your costs.
Download Patient Form - Child - 537 Kb

Download Patient Form - Adult - 452 Kb