New Patient Forms

We want you to enjoy the time you spend in our office. We invite you to fill-out the forms below to optimize your time with us and focus on what matters: your smile.

Your complimentary consultation

At your first visit to Ashburn Orthodontics you will be greeted by one of our team. We will then provide you with an introduction and discuss your orthodontic concerns and goals. After imagining, Dr. Kortam will explain her findings and make a recommendation for treatment should orthodontic treatment be necessary. We will discuss the orthodontic process and review your financial options and applicable insurance coverage in detail prior to the beginning of treatment.


We can't wait to hear from you!

Are you ready to start your smile journey? Reach out to us by phone or text and we'll kick things off with an initial consultation.