Please fill out the form below and click the SUBMIT button to
send us your comments. Because your comments are sent over the
Internet, please do not include sensitive or personal information
on this form.
1. Keeping in mind that quality orthodontics cannot be kept to
a strict schedule, were you pleased with our scheduling system
and the general flow of your appointment?
2. Did you feel that our doctor and team explained fully your
treatment options, instructions, and questions?
3. Did you feel that our team was ready and eager to assist you?
4. Are there any areas in which our service could be improved?
5. Our practice values happy, satisfied patients and our
success is based on our patients’ recommendations. Would
you refer your friends and family to us for their orthodontic
Verification Code (case sensitive):
Thank you for sharing your comments with us!