• Center City Orthodontics - Tejjy M Thomas DMD

  • 1352 South Street, Suite C3, Philadelphia PA 19147

Patient Forms

You 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 the form.

Adult FormChild 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.