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Permission to Treat a Minor (Spanish)

Consentimiento para Tratar menores

Use este formulario para otorgar a MyOrthodontist autorización para tratar a su menor.

  • Autorización

    Entiendo que yo/mi hijo(a) ha sido evaluado (a) para comenzar el proceso de remover los aparatos de ortodoncia. Afirmo que estoy satisfecho (a) con los resultados obtenidos y con mi nueva sonrisa (o la sonrisa de mi hijo (a))
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MyOrthodontist - North Carolina Orthodontist

MyOrthodontist is a family-oriented practice whose priority is delivering exceptional and affordable treatment in a warm and welcoming environment.

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We are a leading family orthodontic practice with locations throughout North Carolina including Cary, Raleigh, Durham, Chapel Hill, Mount Airy, Sanford, Burgaw, Wake Forest, Concord, Greensboro, Roanoke Rapids, and Rocky Mount. We specialize in orthodontic dental care.

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