York Orthodontics Consultation Questionnaire
Thank you for your interest in an orthodontic consultation with Dr. Mir. Please complete this form before we see you for your appointment. The information you provide will remain confidential and it is intended to help us give you or your child the smile you've been waiting for.
York Orthodontics Team
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Is this appointment for you?
Yes. This appointment is for me.
No. I am making the appointment for someone else. (For example, son or daughter)
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