Dental Clearance Form For Orthodontic Treatment - _____the patient has all needed dental treatment completed and is able to start orthodontic treatment. *please have this form filled out by your dentist or dental hygienist. We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment. The patient noted above is interested in starting orthodontic treatment at our office. Please evaluate and advise us of any precautions regarding their. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. We anticipate initiating orthodontic treatment for _____ in the near future. In order to start treatment, we require clearance from their. We require this form to be completed before orthodontic.
We anticipate initiating orthodontic treatment for _____ in the near future. _____the patient has all needed dental treatment completed and is able to start orthodontic treatment. Please evaluate and advise us of any precautions regarding their. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. We require this form to be completed before orthodontic. In order to start treatment, we require clearance from their. The patient noted above is interested in starting orthodontic treatment at our office. *please have this form filled out by your dentist or dental hygienist. We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment.
*please have this form filled out by your dentist or dental hygienist. _____the patient has all needed dental treatment completed and is able to start orthodontic treatment. We require this form to be completed before orthodontic. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment. In order to start treatment, we require clearance from their. Please evaluate and advise us of any precautions regarding their. We anticipate initiating orthodontic treatment for _____ in the near future. The patient noted above is interested in starting orthodontic treatment at our office.
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Please evaluate and advise us of any precautions regarding their. We anticipate initiating orthodontic treatment for _____ in the near future. *please have this form filled out by your dentist or dental hygienist. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. In order to start treatment, we require clearance from their.
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The patient noted above is interested in starting orthodontic treatment at our office. _____the patient has all needed dental treatment completed and is able to start orthodontic treatment. We require this form to be completed before orthodontic. We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment. Please.
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Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. We require this form to be completed before orthodontic. We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment. The patient noted above is interested in starting orthodontic treatment at our.
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Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. *please have this form filled out by your dentist or dental hygienist. We anticipate initiating orthodontic treatment for _____ in the near future. We require that all of our patients are up to date with their general dental care before we can initiate.
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Please evaluate and advise us of any precautions regarding their. In order to start treatment, we require clearance from their. _____the patient has all needed dental treatment completed and is able to start orthodontic treatment. *please have this form filled out by your dentist or dental hygienist. We require that all of our patients are up to date with their.
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We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. The patient noted above is interested in starting orthodontic treatment at our office. Please evaluate and advise us of any precautions.
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Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment. *please have this form filled out by your dentist or dental hygienist. _____the patient has all needed dental treatment completed and.
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*please have this form filled out by your dentist or dental hygienist. Please evaluate and advise us of any precautions regarding their. The patient noted above is interested in starting orthodontic treatment at our office. _____the patient has all needed dental treatment completed and is able to start orthodontic treatment. In order to start treatment, we require clearance from their.
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We require that all of our patients are up to date with their general dental care before we can initiate orthodontic treatment. The patient noted above is interested in starting orthodontic treatment at our office. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. Please evaluate and advise us of any precautions.
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*please have this form filled out by your dentist or dental hygienist. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. The patient noted above is interested in starting orthodontic treatment at our office. We require that all of our patients are up to date with their general dental care before we.
In Order To Start Treatment, We Require Clearance From Their.
Please evaluate and advise us of any precautions regarding their. Please complete the following for our mutual patient who has scheduled an orthodontic appointment in our office. We require this form to be completed before orthodontic. *please have this form filled out by your dentist or dental hygienist.
We Require That All Of Our Patients Are Up To Date With Their General Dental Care Before We Can Initiate Orthodontic Treatment.
_____the patient has all needed dental treatment completed and is able to start orthodontic treatment. We anticipate initiating orthodontic treatment for _____ in the near future. The patient noted above is interested in starting orthodontic treatment at our office.