I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

By providing your phone number, you consent to receive SMS/text messages from Avion Dental. Messages may include appointment reminders, scheduling updates, treatment follow-ups, and occasional promotional offers. Message frequency may vary. Message and data rates may apply.

For help, reply HELP or contact us at [email protected]

. To opt-out at any time, reply STOP to cancel.

View our Privacy Policy and Terms and Conditions for more details.