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  • Mega New Year's Sale. Extra $50 off on current promotion. Use the discount code NY2026 at the checkout. Offer Ends January 1st Midnight.
  • Mega New Year's Sale. Extra $50 off on current promotion. Use the discount code NY2026 at the checkout. Offer Ends January 1st Midnight.
  • Mega New Year's Sale. Extra $50 off on current promotion. Use the discount code NY2026 at the checkout. Offer Ends January 1st Midnight.
  • Mega New Year's Sale. Extra $50 off on current promotion. Use the discount code NY2026 at the checkout. Offer Ends January 1st Midnight.
  • Mega New Year's Sale. Extra $50 off on current promotion. Use the discount code NY2026 at the checkout. Offer Ends January 1st Midnight.
  • Mega New Year's Sale. Extra $50 off on current promotion. Use the discount code NY2026 at the checkout. Offer Ends January 1st Midnight.
Dental Assessment Form

Let's Learn About Your Smile!

1. Which word would you use to describe your teeth? *

2. Are you 18 or older? *

3. How severe is the problem? *

4. Do any of the following conditions apply to you? *

5. Have you worn braces or other invisible aligners in the past? *

Assessment Complete

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