Schedule Your First Consultation

Submit this form or give us a call to schedule your first orthodontics consultation for yourself, your child or your other family member to discuss whether braces or Invisalign are right for you.

Yes! I would like to schedule a consultation.

First Name: *

Last Name: *

Daytime Phone Number: *

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Email Address: *

I am: *

An adult looking for options to straighten my smile.

A parent/guardian researching the best options for my child.

A teenager looking at my options for braces.

Please provide the patient name, if other than yourself.

Preferred Date Option: *

Secondary Date Option:

Do you have orthodontic insurance? *

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Book your first smile consultation with our Langley Orthodontists today.

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