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    • Charleston, WV
    • Hurricane, WV
    • Huntington, WV
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  • COMPLIMENTARY CONSULT
  • Our Practice
    • Who We Are
    • What Makes Us Different
    • Meet Our Doctors
    • Meet Our Team
    • Technology
    • Community Involvement
    • Refer a Patient
    • Patient Reviews
  • Orthodontics
    • Braces
      • Types Of Braces
      • Braces For Kids
      • Braces For Teens
      • Braces For Adults
      • Braces FAQ
      • Payment Calculator
    • Invisalign
      • About Invisalign
      • Invisalign For Kids
      • Invisalign For Teens
      • Invisalign For Adults
      • Invisalign FAQ
      • Payment Calculator
    • Other Treatments
      • Early Orthodontics
      • Brava Independent Movers
      • Gum Contouring & Reshaping
      • Enamel Shaping
      • Zoom Whitening
  • Patient Resources
    • Your First Visit
    • Patient Forms
    • Refer a Patient
    • Brace Bucks
    • 7andUp Kids Club
    • Financial Information
    • Orthodontic Emergencies
    • Orthodontic FAQ
    • Blog
  • Contact Us
    • Contact Info
    • Charleston, WV
    • Hurricane, WV
    • Huntington, WV
    • Ashland, KY
  • (304) 407-3371
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Patient Forms

Home » Patient Resources » Patient Forms

Download the patient forms below and speed up your appointment or fill out the digital forms below. We know how difficult it is to take time out of your day for a orthodontic appointment. In order to keep your appointment fast and simple, please download these forms and have them filled out or fill out the digital forms below. We’ll make sure to keep you for as little time as possible.

New Patient Form (Online)

New Patient Form (PDF Download)

New Health History Form

HIPAA Consent Form

Update Patient Info Form

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Patient reviews

EVERY SMILE TELLS A SPECIAL STORY

We are thankful for the opportunity to serve our community with excellent care and take pride in our mission of having a patient-centered philosophy. Check out what our patients are saying about us!

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Jesse H.
My daughter has been visiting the Hurricane office for two years to monitor the appropriate time to start her braces journey. Today was officially the day and every single one of the office staff members we encountered were very friendly and helpful.
Jesse H.
My daughter has been visiting the Hurricane office for two years to monitor the appropriate time to start her braces journey. Today was officially the day and every single one of the office staff members we encountered were very friendly and helpful.
Tracie A.
The staff here somehow make it fun to go to the orthodontist. My kids “graduated” as they call it, we will miss them.
Tracie A.
The staff here somehow make it fun to go to the orthodontist. My kids “graduated” as they call it, we will miss them.
Sarah A.
Staff was friendly, and we were quickly in and out for a quick fix on a bracket. Was able to get in same day I called.
Sarah A.
Staff was friendly, and we were quickly in and out for a quick fix on a bracket. Was able to get in same day I called.
Brandon C.
Dr Holmes and Dr Palmer are great. They are committed to the best outcome for all their patients! They take their time with everyone and don’t rush treatment. Looking forward to seeing the final results for my son Lincoln.
Brandon C.
Dr Holmes and Dr Palmer are great. They are committed to the best outcome for all their patients! They take their time with everyone and don’t rush treatment. Looking forward to seeing the final results for my son Lincoln.
Melissa D.
Absolutely impressed with the Amazing staff, and services.
A comfortable, welcoming atmosphere!!
Great service, affordable pricing, and excellent care!!
Melissa D.
Absolutely impressed with the Amazing staff, and services.
A comfortable, welcoming atmosphere!!
Great service, affordable pricing, and excellent care!!
Kara S.
Dr Palmer has been fantastic and so compassionate throughout the entire experience! Recommend this entire office to anyone needing any orthodontic treatment! They’re all fabulous
Kara S.
Dr Palmer has been fantastic and so compassionate throughout the entire experience! Recommend this entire office to anyone needing any orthodontic treatment! They’re all fabulous
Christina S.
My daughter loves going to Holmes and Palmer Orthodontics! Very nice staff, personable, great with all ages!
Christina S.
My daughter loves going to Holmes and Palmer Orthodontics! Very nice staff, personable, great with all ages!
JimSara H.
My daughter was very nervous about getting braces but they made her feel so comfortable that she relaxed and was laughing by the time we left. The process was quick and we were out in no time.
Our locations

Come by one of Our offices

  • Charleston, WV
  • 867 Oakwood Road
    Charleston, WV 25314
  • (304) 343-3672
Huntington office
  • Hurricane (Teays Valley), WV
  • 3659 Teays Valley Road Suite 200
    Hurricane, WV 25526
  • (304) 201-3672
Hurricane office
  • Huntington, WV
  • 451 Kinetic Drive Suite 200
    Huntington, WV 25701
  • (304) 343-3672
Charleston office
  • Ashland, KY
  • 2000 Carter Ave.
    Ashland, KY 41101
  • 606-388-2561

Charleston

Hurricane

Huntington

Ashland

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LOCATIONS

  • Charleston, WV
  • Hurricane, WV
  • Huntington, WV
  • Ashland, KY
  • (304) 201-3672

CONTACT HOURS

Monday8:00am – 5:00pm
Tuesday8:00am – 5:00pm
Wednesday8:00am – 5:00pm
Thursday8:00am – 5:00pm
Friday8:00am – 11:00am

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