Book Online

When you come for your first visit here at Shirck Orthodontics, the last thing you want is for us to hand you a clipboard to fill out paperwork. By completing your patient forms online, you can avoid the hassle and get into your appointment quickly with Dr. Jeff, Dr. Soo or Dr. Betina. Please take all the time you need to make sure you have all the right information, no need to dig out your phone or scramble to find your insurance card. Feel free to reach out to us if you have any questions or need to schedule a consultation with our orthodontists in Pataskala, New Albany, Westerville, Newark and Powell, Ohio.

New Patient Form