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Which of these best represents the issue you or your child have?
Don’t want people to see my braces or aligners
Here’s the information you’ve given us about your smile goals
and orthodontic interests. We’ll reserve a time for you with our
awesome orthodontist, who will get you started on your
We’ll give you a call to plan on a time for your initial consultation.
If you have any current orthodontic appliances (mouthguards, retainers, headgear, etc)
please bring them with you.
As a thank-you for completing this form ahead of time, here’s a
special offer, just for you!