Patient Forms

Boy smilingYou may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Benning & Mathews Orthodontics

  • Colorado Springs Location - 415 W. Rockrimmon Blvd., Suite 100, Colorado Springs, CO 80919 Phone: (719) 598-7700 Fax: (719) 536-0862
  • Woodland Park Location - 101-A Sundial Dr., Woodland Park, CO 80863 Phone: (719) 598-7700 Fax: (719) 536-0862

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