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  • Smile for a Lifetime Application FINAL PAYMENT ONLY

    Please complete the form below if Smile for a Lifetime has informed you that your application is complete. NOTE: The waiting period for this step of the process varies and can be longer than six (6) months based on the area. If you have any questions while you are waiting to hear about your approval, please contact Smile for a Lifetime and NOT the orthodontist. Thank you!
  • General Questions

  • I,  *   *   understand if I do not follow through with appointments or am non-compliant, I will not receive the refund of $480. By writing my name I agree to this understanding.

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