Patient Information
Start your journey of getting a smile you love with Alliance Orthodontics.
We provide skillful orthodontic treatment for patients of all ages. Contact us today to schedule your orthodontic consultation at one of our convenient 12 locations throughout the Atlanta metro area.
Patient Forms
Alliance Orthodontics wants to make your visit as efficient and friendly as possible. Please assist us by completing the following patient forms by the time of your first visit.
Adult Orthodontic & Medical History Form
Teen/Child Orthodontic & Medical History Form
Insurance / Financial Information
It is our goal here at Alliance Orthodontics to provide affordable, high quality care to anyone who can benefit from orthodontic treatment. To meet your needs, we have a variety of payment options available, including a no down payment option. We accept checks, cash, credit card payments and bank drafts. Our friendly and knowledgeable staff will be happy to explain all the financing options we provide, as well as assist in determining your insurance coverage.
We honor all orthodontic insurances and provide discounts for second family members who start treatment at our office. Whenever a current patient refers a friend to our office who starts treatment, they receive a $50 gift card. Please call for details.
Insurance
Your complete insurance information must be presented at the time services are provided. Insurance claims cannot be backdated. Most benefits will be verified before your insurance company can be billed.
Most insurance companies have a lifetime orthodontic benefit that is different from regular dental insurance. Once treatment has started, we will even file your claims. For those without orthodontic insurance coverage, rest assured. Many of our patients are able to comfortably afford braces without orthodontic coverage thanks to our in-house patient-friendly payment plan. Call today for details and to schedule a complimentary consultation for you or your family member.
