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 each 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.

Dr. Everett Renger Orthodontics

  • Houston Office - 9099 Katy Freeway, Suite 175, Houston, TX 77024 Phone: 713-461-5910 Fax: 713-468-8528
  • Hallettsville Office - 103 S. Kelly St., Hallettsville, TX 77964 Phone: 361-798-2766

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