LOST / Broken Aligner order form
If you have lost or broken your aligner, no worries! For your convenience, it will be mailed directly to your house or the address that you put in the form. No need to come in and see us!
Please make sure you know which number of aligner you need prior to logging in to place your order.
Use the link below to order a new one.
If you need additional help, please call our office at ABC123 Pediatric Dentistry Phone Number (713) 436-8988.