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Call (614) 718-2222

Patient Forms

If you are a new patient to our office, the attached files contain our new patient forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

 

Adult History

Child History

Privacy

HIPAA

Informed Consent

Ortho Appointment/Scheduling

Elastics

Palate & Lower Arch Expanders

 

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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Testimonials

Couldn't ask for better! You guys are fantastic! Both my kids and I are receiving excellent care and treatment! My daughter had a few complications and and your staff could not be more accomodating or helpful in getting her taken care of immediately. Dr. Byczek and your entire staff are hands-down the most caring, compassionate people! And, I can't thank you enough for the beautiful smiles you are giving to my children!

Gunnar, patient and mom of patients

I love Dr. Byczek and all the workers! They have kids around my age so they know how to communicate and relate to what's going on in my life and how to handle having braces. They are also very friendly and we often have wonderful conversations.

Marley, patient

Dr. Byczek, I wanted to thank you for the wonderful job you did for our son. His smile is fabulous and he's thrilled to have the braces off...getting loads of compliments from family and friends.

Todd, dad of patient

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Serving Dublin, Hilliard, Plain City, Marysville, Powell, Worthington, Upper Arlington, and many other central Ohio communities.