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.

Lefort Orthodontics

  • Lefort Orthodontics - 2628 Country Club Rd., Lake Charles, LA 70605 Phone: 337-436-3631 Fax: 337-436-3632
  • Lefort Orthodontics - 420 Cypress Street, Sulphur, LA 70663 Phone: 337-528-2215

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