Here, You're More than Just a Patient
“I did my research on different places and I am beyond pleased that I chose here. This staff is absolutely awesome. My 10 year old got her braces and they made sure she was as comfortable as possible. I would give them 10 stars of I could.”
– Stephanie H.
Please fill out the following forms electronically and submit them before your first visit!
Please print the following forms and bring them with you to your first visit!
Office Procedures Consent HIPAA Form
Authorization for the Release of Information
Notice of Privacy Practices (Spanish)
Receipt of Notice of Privacy Practices
Patient Rewards Hub!
Successful orthodontics is a team effort and YOU are our key player! We have created our Sandhills Dollars rewards card to recognize your accomplishments and congratulate your winning achievements. Our Sandhills Dollars rewards card is an incentive program based on your compliance. You set the bar…every visit is an opportunity to earn points and cool prizes.
Enter your 16-digit membership number (username) on the back of your card and your 4-digit password and enter into the wonderful world of fun!
Here are a few ways you can earn points on your Sandhills Dollars rewards card.
Nothing loose or broken
Being a member of our Kids Club
Referring friends and family
Being on Time
Wearing orthodontic appliances as instructed
What to do in an Emergency
If you experience tooth pain or loose and broken brackets, bands, or wires, call our office to find out if you can wait until your next scheduled appointment for the repair or if you should come in sooner. While actual emergencies are rare, if you think that you have an emergency, don’t hesitate to contact either of our offices to schedule an emergency appointment. You will receive superb professional care regardless of your need.