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Cartoon dog mascot with braces and large smile, representing DOG Ortho orthodontic services, emphasizing dental care and treatment options.
Schedule Free Consultation
  • About Us
    • Meet Dr. Jake Dorfman
    • Why Choose Us
    • Our Values
    • Everyone Smiles Program
    • Share-A-Smile Program
    • Contests and Prizes
    • DOG Kids Club
    • Our Community is Yours
    • Testimonials
  • Financial
    • Office Visits
    • Financial Information
    • Smile Forever Guarantee
    • Insurance
  • Treatments
    • Treatment Options
    • Metal Braces
    • Clear Braces
    • Invisalign®
    • Invisalign® Treatment for Teens
    • Early Interceptive Treatment
    • Retainers for Life?
    • Before and After
    • Life with Braces
    • Emergency Care
    • Orthodontic FAQs
  • Blog
  • Contact Us
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    • Southampton
    • Bensalem
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Patient Forms

Smile Smarter. Live Better.

Please complete our new patient information form before your first appointment

Follow the link below, and please remember to include your insurance information:

New Patient Intake/Medical History Form
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Locations
Southampton
  • 345 Knowles Ave #7
    Southampton, PA 18966
Bensalem
  • 3101 Bristol Road, Ste 2
    Bensalem, PA 19020
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Southampton Orthodontic

Southampton Orthodontic

  • 345 Knowles Ave #7
    Southampton, PA 18966
  • Visit This Location

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Bensalem Orthodontic

  • 3101 Bristol Road, Ste 2
    Bensalem, PA 19020
  • Visit This Location
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Southampton
call (215) 910-4376
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