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  • Home
  • About Us
    • Meet Dr. Mendlik
    • About Board Certification
    • Meet Our Team
    • Testimonials
    • Advanced Technology
    • Amazon Product Recommendations
    • Patient Rewards Hub
  • New Patients
    • Why Choose Us
    • First Visit
    • Easy Financing
    • FAQ
    • Common Problems
  • About Orthodontics
    • Types of Braces
    • All About Braces
    • Early Orthodontics
    • Adolescent Treatment
    • Adult Orthodontics
    • Orthodontic Retainers
    • Airway Orthodontics
    • Surgical Orthodontics
    • Pitts21 Braces
    • Remote Monitoring
  • Invisalign
    • Invisalign
    • Invisalign Teen
    • SureSmile Aligners
    • Cost of Invisalign
    • iTero
  • Contact Us
    • Omaha Office
    • Fremont Office
    • Columbus Office
    • Request an Appointment
    • Virtual Consultation
    • Patient Referral Form
    • Emergency Care
  • Home
  • About Us
    • Meet Dr. Mendlik
    • About Board Certification
    • Meet Our Team
    • Testimonials
    • Advanced Technology
    • Amazon Product Recommendations
    • Patient Rewards Hub
  • New Patients
    • Why Choose Us
    • First Visit
    • Easy Financing
    • FAQ
    • Common Problems
  • About Orthodontics
    • Types of Braces
    • All About Braces
    • Early Orthodontics
    • Adolescent Treatment
    • Adult Orthodontics
    • Orthodontic Retainers
    • Airway Orthodontics
    • Surgical Orthodontics
    • Pitts21 Braces
    • Remote Monitoring
  • Invisalign
    • Invisalign
    • Invisalign Teen
    • SureSmile Aligners
    • Cost of Invisalign
    • iTero
  • Contact Us
    • Omaha Office
    • Fremont Office
    • Columbus Office
    • Request an Appointment
    • Virtual Consultation
    • Patient Referral Form
    • Emergency Care
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Patient Forms

At Mendlik Orthodontics, we value your time! We offer many of our patient forms online to help cut down on time spent in the office.

Adult Health History Form – English

Child (Minor) Health History Form – English

Adult Health History Form – Spanish

Child (Minor) Health History Form – Spanish

What Sets Us Apart
Advanced Technology
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ABO logo Mendlik Orthodontics in Omaha, Fremont, and Columbus, NE
AAO logo Mendlik Orthodontics in Omaha, Fremont, and Columbus, NE
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Suresmile Mendlik Orthodontics in Omaha, Fremont, and Columbus, NE
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iTero logo Mendlik Orthodontics in Omaha, Fremont, and Columbus, NE
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  • 17775 Mason Street, Omaha, NE 68118
  • 1830 North Bell Street, Fremont, NE 68025
  • 2071 33rd Ave Ste A, Columbus, NE 68601
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