Please take a moment to fill out the necessary forms below.
Dr. Fortney and the HVO Team would love to get to know you better, so that we can better serve you! Some of the forms are required, while others are either for your information, or to help us learn more about you. We are really looking forward to a fun, inspiring, and beneficial relationship! We look forward to meeting you in person as well!
Please note that the Health History Forms are located on the secured “Ortho II” website for your security and protection, as well HIPPA compliance. Please remember to hit SUBMIT once you complete the form!
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Health History Form
Please take a few moments to fill out this required online form. It is critical we are knowledgeable about your health history in order for us provide the best treatment possible.
English Form (Click Here)Forma Español (Click Here)
Getting To Know You
For those of you 10 and under, we can’t wait to get to know you better. Please take a few minutes to print and complete this form for us.
Don’t forget to bring it with you to your appointment!
Getting to Know You Form (PDF)
Family Care Program
Please fill out one of these forms to let us know about all of your family members.
Family Care Program Form (PDF)
HIPPA Privacy Notice
Please review the HIPPA Privacy Notice in your preferred language.
English HIPPA Notice (PDF)HIPPA Español (PDF)