Patient Forms


You may access the following forms to assist us with your care. Please open, fill out and save.  Once completed, cick on the link below the forms to email them to our office prior to your visit.

When completed, click here to email us the form using the "attach file" option.

You may also download and print the forms to bring them to your next appointment.

Michael R. Bailey, DMD, Orthodontist

  • Michael R. Bailey, DMD, Orthodontist - 4370 Kukui Grove St., Suite 212, Lihu’e, HI 96766 Phone: 808-245-1818 Fax: 808-246-0458

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