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Medical History

As part of the process of signing up to use Self-ie aligners, you will be asked to respond to a number of questions regarding your health and dental condition. These questions are important. If you respond incorrectly or incompletely, you may increase your risk of adverse effects of using aligners.  Also, certain conditions could render aligner treatment ineffective. It is important that you review the questions carefully, and answer accurately. Do NOT provide incorrect information because you think it doesn’t matter. If there is a question you don’t understand, please contact us and any of our staff will be happy to help. 

Contact Customer Support and let us know right away if anything changes during the course of treatment. The information you provide below is confidential and will not be used except in connection with providing services to you or as required by law.

These questions are important for us to understand if you are suitable for Self-ie aligners. Please take your time answering them.

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