Patient Forms

We invite you to complete our new patient forms before visiting our office for the first time. Completing these forms in advance will help you save time in the office and will streamline your experience with our orthodontist. If you have questions, please contact our friendly team at the office of Dr. Ora Rosenfeld Canter.

New Patient Info & Medical HistoryHIPAA Privacy Policy Disclosure

Financial Options

Dr. Ora Rosenfeld Canter and our entire team work hard to help you reach the goals you have for your smile with our quality orthodontic services. We are pleased to offer a variety of financial resources to help you reach those goals. We accept the following forms of payments:

  • Cash
  • Credit cards
  • Debit cards

We are in network with 1199 SEIU, Aetna, Ameritas, Blue Cross Blue Shield, Cigna (PPO and HMO), Delta Dental, EmblemHealth, Empire Blue Cross Blue Shield, GHI, Guardian, Healthplex, MetLife, Union Plans, and UnitedHealthcare. If you have any question about coverage and claims, please give our friendly team a call today. Dr. Ora Rosenfeld Canter is pleased to be your experienced orthodontist in Astoria, New York, and the surrounding areas of Queens, Long Island City, Woodside, Elmhurst, Corona, Jackson Heights, Ditmars Steinway and Middle Village, New York.