Clear Correct Patient informed Consent Form

Successful orthodontic treatment is a partnership between the doctor and the patient. As a general rule, informed and cooperative patients can achieve positive orthodontic results. While recognizing the benefits of a beautiful healthy smile, you should also be aware that, as with all healing arts, orthodontic treatment has limitations and potential risks. These are seldom serious enough to indicate that you should not have treatment ; however, all patients should consider the option of no treatment at all by accepting their present oral condition. You should also ensure that you have discussed all orthodontic alternatives available to you with your doctor prior to beginning treatment.

Please read this information carefully, and ask the doctor to explain anything you do not fully understand . Ensure you know what is expected of you as the patient (or as the parent/guardian of a young patient) during treatment.

Please click here to download the consent form.

Consent and Agreement

Patient Name Parent/Guardian Name Time

I acknowledge I have read, understand, and voluntarily consent to the use of clear aligners in accordance with terms of this Informed Consent and Agreement.

Submit