To help us learn more about you as our patient, please print and fill out both forms below and bring them with you to your initial consultation. The privacy notice is for your records.
A form that gives Kozak Orthodontics permission to access records on your behalf pertaining to your case. This form is needed on your first visit.Download Here
This forms helps us get to know you and a little bit about your dental/orthodontic history. It also helps you convey any previous or current problems you have that need to be addressed. To save time you can print and fill this out before you come to your first visit!Download Here
The privacy notice is for your records only.Download Here
Below is a collection of informational forms that will help answer questions you may have about our office policies.
"Thank you, Dr. Kozak, For making my children's smiles so fantastic. For fixing there teeth so that they are no longer self-conscious of there smiles. This is the first time in a long time that I've truly felt that "I've gotten my money's worth--and more". Dr. Kozak and his colleagues at Kozak Orthodontics exceeded my expectations 10 fold, while being a perfectionist with the eye of an artist and a stickler for detail my children's teeth are more beautiful than I could ever have expected . The team at Kozak Orthodontics takes the time to get to know there patients and develop a comfortable relationships with them. Visits are friendly and quick. Kozak Orthodontics offers incentives and rewards for good Orthodontic care. They also initiate fun contests for there patients throughout the year. And what more can you say about Dr. Kozaks staff. They make you feel that they are there for you and you leave feeling that you have known them for years even after the very first visit. Kozaks staff is more than just a team but as a group of good friends working together to make BIGGER SMILES!!!! After 9 years and two sets of braces I have one thing to say THANK YOU!!! THANK YOU ALL!!!"
To the Team at Kozak Ortho, I'd first like to say, over the past 8 years, with my oldest daughter and now the past 2 years with my youngest daughter, your staff has been nothing but professional and it's been a pleasure to have you Dr. Kozak , and your wonderful staff to assist in creating unbelievable smiles for both of my daughters. The path with our oldest, has been long and trying and after 3 sets of braces and double madibular jaw surgery by your referred surgeon, the results have been remarkably worth it all! And to this day, Kayla still loves coming to see you all !! As far as my youngest, she wouldn't ever let the dentist near her, and then she found her oldest sisters ortho, and from the beginning was nothing but comfortable and anxious to get to her appointments and to get her "Kozak cash" for doing a good job! She just got her braces off in August 2011, and her smile is beautiful! For anyone who's hesitant about not knowing the Kozak team, I give you my word, there is no one I'd rather have spent all these years with. They have all become like family to us. Thank You, soo very much for all your care you have given my girls and I !
"My daughter was there earlier this week and had a great conversation with Casey, her technician. A few days later she received a card in the mail from her wishing her a great school year. Not only that but there were mentions of some of the personal topics they talked about. It really meant a lot to her and she was so excited!!! Thanks so much to Casey!!!!"