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How It Works
Before & Afters
Dental Monitoring
About Us
Meet The Team
Clear Aligners
Pricing
Contact Us
Ask the Expert
Menu
How It Works
Before & Afters
Dental Monitoring
About Us
Meet The Team
Clear Aligners
Pricing
Contact Us
Ask the Expert
Am I a candidate?
Take Your Smile Quiz...
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I am a...
*
Parent
Teen (14 yrs or older)
Adult
What is your main reason for achieving a better smile?
*
General Improvement
Causes Discomfort/Lack of Confidence
Upcoming Event (example: wedding)
Other
Tell us a bit more about your teeth...
*
Crooked Teeth
Cross Bite
Gap Teeth
Open Bite
Over Bite
Under Bite
Generally Straight Teeth
Mix Of Baby And Adult Teeth
I just want a better smile
Have you ever worn clear aligners or braces before?
Yes
No
Do you have any pre-existing dental work?
*
No
I have some bridge work
I am missing some teeth
Other
I consider this issue to be a...
*
Mild Concern
Moderate Concern
Severe Concern
What kind of insurance do you have? (you may choose more than one)
*
Dental Insurance
Flexible Spending Account (FSA)
Health Reimbursement Account (HRA)
Health Savings Account (HSA)
No Insurance (No Problem)
Would you be interested in a payment plan?
*
Yes Please!
No Thanks.
Name
*
First
Last
Email
*
Please enter your email, so we can follow up with you.
I am a...
*
Female
Male
I prefer not to say
Do you want to share us anything else?
Email
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