Patient Forms

Our patient forms are available online for your convenience. Please fill them about before your appointment with Drs. Wilson, Cowley, Riche, Wilson, and Anandarajah to make your visit to Ortho*Dental, Inc. streamlined and efficient. Contact our office today with any questions and to schedule a visit with our orthodontists and dentists in Gallup, New Mexico. We are glad to assist you!

Patient Form: Word Document

Financial Options

Dr. Wilson, Dr. Cowley, Dr. Riche, Dr. Wilson, and Dr. Anandarajah are dedicated to providing you and your family with all of the high-quality orthodontic and dental care you need and deserve. To help you easily afford your dental care, we have a number of financial options available. We accept all dental insurances. Contact Ortho*Dental, Inc. for more information. We also accept the following forms of payment:

• Cash
• Check
• Credit card
• In-house financing

We welcome you to contact our office today to learn more about our financial options and to schedule an appointment with our dentists and orthodontists in Gallup, New Mexico. We are happy to answer any questions you may have.