invisalign® | your first visit | adult health history form

We are always excited for your first visit to our office. This gives us a chance to get to know you. You will meet our Treatment Coordinator who will answer any questions you might have and find out your specific concerns. She will also take some photographs of your teeth that will be used to diagnose and discuss your orthodontic problems. Next, Dr. Klempner or Dr. Amram will do an extensive examination and determine what type of treatment would benefit you most. He will discuss your specific plan in detail, including what appliances might be used and how long your treatment might take. If he feels that you are ready to get started we can expedite treatment by taking records during that same visit. Records consist of necessary x-rays and impressions of your teeth.

Our Treatment Coordinator will also be able to discuss the cost of your orthodontic treatment and review our financing programs with you. If you have orthodontic insurance, she will review your coverage, benefits and savings.

By the end of your first visit, we want you to feel at home in our office and have confidence in our ability to provide excellent care and top-quality service. It is of utmost importance to our team that your experience on the road to a beautiful, healthy smile is as enjoyable for you as it is for us!

Payment Options

It is our goal to set finances before treatment begins so that it does not interfere with the course of orthodontic care. We would like to keep the focus on quality of care and relationships with our patients and their families.

Keeping this in mind, we offer the following options for payment:

A bookkeeping courtesy is given for payment in full.
Ortho Fee Plan: No down payment and low monthly payments. Click here for more information or to apply
Care Credit: A one-year interest free loan with no down payment. Click here to apply
Credit card payments are accepted with a pre-arranged contract. You need to leave an initial payment and the balance will be divided over time. Your credit card will automatically be charged on the first day of each month.
Electronic fund transfers are offered for those individuals who are interested in paying with their checking or savings account. You may choose any day of the month and the transaction will be completed automatically. You will be required to leave an initial payment with cash, check or charge.

We work hard to make quality orthodontic care affordable for all people and are open to your suggestions with regard to financing your treatment.

Questions & Answers About Electronic Payment

Q. What is electronic payment?

A. Electronic Payment is automatic bill payment. Your payment is deducted automatically from your checking or savings account. You can avoid the hassle of writing or mailing checks.

Q. What is the advantage of Electronic Payment?

A. It saves times! It saves work! It simplifies your life! Paying bills is a time-consuming chore. Electronic Payment takes it off your hands.

Q. How can you transfer money from my account?

A. Once you authorize the amount and payment schedule, the funds are electronically transferred from your account to our practice's account.

Q. When is the Electronic Payment transferred from my account?

A. On its due date. You never have to worry about forgetting a payment or mailing it on time!

Q. If I do not write checks, how do I keep my checkbook balance straight?

A. Since your payment is made at a pre-established time, you simply record it in your check register on the appropriate date.

Q. Without a cancelled check, how can I prove I made my payment?

A. Your bank statement gives you an itemized list of electronic payments. It's your proof of payment.

Q. Is Electronic Payment risky?

A. Electronic Payment is less risky than check payment. These types of transactions cannot be lost, stolen or destroyed in the mail and they have an extremely high rate of accuracy.

Q. What if I change bank accounts?

A. Notify us and we'll give you a new authorization form to complete.

Q. How much does Electronic Payment cost?

A. It costs you nothing! Plus, you save the cost of stamps, checks and envelopes.

Q. What if I try Electronic Payment and don't like it?

A. You can cancel your authorization for Electronic Payment by notifying us at any time. But, once you've enjoyed the convenience, time and money savings of Electronic Payment, we doubt you will want to go back to paying bills the way you did before.

Q. How do I sign up for Electronic Payment?

A. Complete and sign the authorization form and return it to our office along with a voided check or savings deposit slip.

Diagnostic Records

Before treatment can start, a set of diagnostic records is taken to determine the nature of your problem and what can be done to correct it. These procedures are necessary for Dr. Leon and Dr. David to evaluate which course of treatment will be best.

Digital Imaging

We will take a set of digital photographs to provide an accurate record of the state of the mouth at the time treatment begins.
Digital Imaging

Study Models

Impressions are taken of the teeth, from which plaster study models will be made; these study models will be used to study the dental problems as they exist at the beginning of treatment. The models are a valuable reference during pretreatment planning and for the evaluation of progress during active treatment.

Radiographs

There are three x-rays that will be taken at this visit:. A Cephalometric x-ray allows Dr. Leon and Dr. David to compare your tooth and jaw relationships to normal measurements. It also allows us to measure tooth movement and growth changes, which are essential to treatment decisions. An Occlusal x-ray allows Dr. Leon and Dr. David to see the upper front permanent teeth and roots. It is important that your permanent roots are long enough to subject them to treatment. A Panoramic x-ray is a composite of the teeth and jaws. In one x-ray Dr. Leon and Dr. David are able to see if you have the normal number of teeth, missing teeth, extra teeth and wisdom teeth. The Panoramic x-ray also can help Dr. Leon and Dr. David predict where the permanent teeth may erupt. During the course of treatment it may be necessary to take a progress Panoramic x-ray to see changes as the primary and permanent teeth exchange.
X-rays

Why Choose Us

Smiles For Children