exceptional smiles for all ages

New Patient Forms


THANK YOU for considering Willes Orthodontics.

We look forward to getting to know you!

To save trees and your time at the office, we recommend filling out this confidential registration and health history information online. Enter your answers, click the "Submit" button at the bottom, and your information will be sent to our office with secure encryption.

If you prefer a physical form that you can fill out and bring in with you, simply call or text us at 760.434.5031, and we'll gladly get that to you.

Please let us know if you have any questions. And again, thank you!

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Our Patients
love us

“As a dental hygienist in Carlsbad for thirteen years, my expectations are higher than most. The results I have seen on patients over the years as well as on my own children are five stars all the way around.
Thank you, Dr. Willes!”
Debbie, Carlsbad
“We have had four children benefit from the care and expertise of Dr. Willes and his staff. The people in the office really care about not just making beautiful smiles, but engaging and understanding their patients.” Jennifer, Oceanside
“Couldn’t ask for a better team. Always prompt and courteous, with great skills and service.” Richard, San Marcos
“Dr. Willes and his staff clearly love what they do. They are knowledgeable, genuine, and professional, and take pride in creating healthy, beautiful smiles.” Colleen, Carlsbad
“I love Dr. Willes and all the staff! I look forward to my regular visits because it’s like seeing family. My teeth are getting so straight, and I can hardly wait to see my forever smile!” Brandon, Vista
Read More