You may send us your Health History form electronically by opening the link below, filling it in and submitting it. If you have not done so already, we will call you to schedule an appointment.

Health History Form

You may also download forms available in Microsoft Word and Adobe PDF format. Just print, fill out, and bring it with you to your appointment at Dr. Haeger’s office.

If you're unable to read PDF files, you can download Acrobat Reader free from Adobe.

Available forms:

• Patient Information and Medical History
  • Word format
  • PDF format
• Scholarship Fund for Higher Education, 2010 Application
  • Word format
  • PDF format

Dr. Robert Haeger - Orthodontics for Children, Adults, & more!..
24909 104th Ave. S.E. Ste 203 Kent, Washington 98030 | Ph: (253) 850-7043 | Email Dr. Haeger