Patients & families
Appointment Preparation Worksheet
Organize concerns, appointment questions, and items to confirm with the treating team.
Preview & print freeORTHODONTIC CLINICAL CARE
Practical, screenshot-friendly worksheets for orthodontic patients, families and clinical support staff. Each includes its purpose and a printable page. No email or account required. Select a worksheet to preview it, then print or save as PDF.
Patients & families
Organize concerns, appointment questions, and items to confirm with the treating team.
Preview & print freePatients & families
Record what happened and when, then contact the orthodontist for advice when an appliance problem or discomfort arises.
Preview & print freeClinical support staff
A communication and preparation reminder to use alongside the practice's approved infection-control protocols.
Preview & print freeMADE FOR THIS · ORTHODONTIC CLINICAL CARE
Organize concerns, appointment questions, and items to confirm with the treating team.
□ Appointment date: __________________
□ My top three questions:
□ Changes or concerns since last visit:
□ Appliance or retainer questions:
□ What I want to clarify before leaving:
Educational/organizational resource only. For urgent symptoms or appliance problems, contact the treating orthodontist promptly; emergencies require appropriate urgent medical care. Staff must follow applicable law, supervision and office protocols.MADE FOR THIS · ORTHODONTIC CLINICAL CARE
Record what happened and when, then contact the orthodontist for advice when an appliance problem or discomfort arises.
□ Date and time noticed: __________________
□ Appliance involved (if known): __________________
□ What I noticed (in my own words):
□ When it happens or changes:
□ Questions for the orthodontist:
□ Office contacted / instructions received:
Educational/organizational resource only. For urgent symptoms or appliance problems, contact the treating orthodontist promptly; emergencies require appropriate urgent medical care. Staff must follow applicable law, supervision and office protocols.MADE FOR THIS · ORTHODONTIC CLINICAL CARE
A communication and preparation reminder to use alongside the practice's approved infection-control protocols.
□ Assigned room and appointment type confirmed
□ Approved room turnover protocol followed
□ Hand hygiene and appropriate PPE per office policy
□ Sterile packages and indicators checked per office protocol
□ Required supplies checked with supervising team
□ Room readiness confirmed with licensed treating team
Educational/organizational resource only. For urgent symptoms or appliance problems, contact the treating orthodontist promptly; emergencies require appropriate urgent medical care. Staff must follow applicable law, supervision and office protocols.