Patient Forms

• Online New Patient Form
• Patient Form (Child)   |  
• Patient Form (Adult)   |   
• Patient Health History Update
• COVID-19 Form

Deals

• Life Time Retainers (Limited time offer)
• Essix Retainer
  • $700 Fee, 1 set of retainers included and next set at 50% discount on our currently price for life with a small monthly payment and visits.
• Permanent Bonded Retainer 
  • $750 Fee, lower retainer inclueded and 1 upper essix inclueded, next retainer at 50% discount for on currently price for life with a small montly payment and visits.
• Hawley Retainer 
  • $800 Fee, 1 set of retainer inclueded and next set at 50% discount on our currently price for life with a small monthly payment and visits.
    Patient must to come to our office every 6 six month for new records. Fee may be applied.

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