Struggling with crooked teeth, bite issues, or a smile you're not happy with? Orthodontic care can give you a healthier, more confident smile—no matter your age. Answer a few quick questions to find out how we can help!

I Am A? *

Adult Patient

Parent / Guardian For Child Patient

Teen Patient

How Old Is Your Child? *

10 or Younger

11-15

16 or Older

What is the Top Reason You're Considering Orthodontic Treatment For Your Child? *

My child often complains of toothaches or discomfort when chewing

My child's teeth are growing crooked or crowded, and I want to prevent it from getting worse

My child struggles with speech clarity or has difficulty pronouncing certain words clearly

My child feels self-conscious or embarrassed about their smile

What is the top reason you're considering orthodontic treatment? *

To improve the appearance of my smile

To correct a bite problem

Experiencing pain or discomfort

Recommended by a dentist or orthodontist

How soon are you looking to start orthodontic treatment? *

As soon as possible

In the next few weeks

In the next 3-6 months

I'm just gathering information for now

Have You Spoken To A Dentist/Orthodontist About Orthodontic Treatment Recently? *

Yes

Please Describe The Treatment Plan *

Any Other Information You'd Like To Provide? *

Our Practice Is Located In Missoula, MT. Are You Willing To Travel To This Location? *

Yes

First Name *

Last Name

Postal Code *

Phone *

Email *

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