Invisalign Front Office Documents

Invisalign Front Office Documents

Treatment Payment Option Form

This form works best during treatment presentation and pricing levels with options for your front office to present for patient payment options. Dr. Ataii had made this form in a Word Document so that you can add your office information.

2 Tier Pricing Form

Making Invisalign Affordable: Provide this form to your patients and show affordable monthly payments. Note: These sample payments reflect less insurance payments. Dr. Ataii had made this form in a Word Document so that you can add your office information.

Insurance FAQ

This download is an FAQ on Ortho Insurance Billing.

Chair Side Patient Compliance Agreement

This download is a patient chair side patient compliance agreement.

Informed Consent For the Invisalign

This download is a patient informed consent for Invisalign.

Invisalign Completion

This download is the completion of Invisalign and annual retention program.

Restorative Treatment Disclosure

This download is a Restorative Treatment Disclosure.

Restorative Treatment Disclosure Form 

This download is who do not want to move forward with Invisalign but with restorative instead.

Quiz Technique Form

This download is a Questionnaire for Patients.

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