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Comment Form

We enjoy having you as a patient and we are committed to making our relationship together as fulfilling as possible.  In order to continue to serve happy patients, we would appreciate your suggestions and comments about our services.

Please fill out the form below and click the “Send” button to send us your comments.

    1. Were you pleased with our scheduling system and the general flow of your appointment?

    YesNo Your comments

    2. Did you feel like our doctor(s) and team fully explained your treatment options, instructions, and questions?

    YesNo Your comments

    3. Did you feel like our team was ready and eager to assist you?

    YesNo Your comments

    4. Are there any areas in which our service could be improved?

    YesNo Your comments

    5. Our practice values happy, satisfied patients and our success is based on our patients’ recommendations. Would you refer your friends and family to us for their orthodontic needs

    YesNo Your comments

    Thank you for sharing your comments with us!

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