I understand and agree to the following:

• The digital smile scan and simulation provided today are for informational and promotional purposes only.

• This scan does not constitute a dental examination, orthodontic diagnosis, or treatment plan.

• A proper orthodontic evaluation requires a clinical examination and diagnostic records such as radiographs, which are not being taken at this event.

• Any smile simulation shown represents an estimate and may not reflect actual treatment results.

• Participation in this scan does not establish a doctor–patient relationship.

• I understand that orthodontic treatment recommendations should only be made after a complete in-office consultation with appropriate diagnostic records.