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5400 W Plano Pkwy #250 Plano, TX 75093 (972) 732-1400
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Transfer/Currently in treatment New Patient Information

Hello and welcome to Willow Bend or Richardson Orthodontics! 

We are excited that you have contacted us. We love helping patients currently in orthodontic treatment finish with a healthy, beautiful smile. 

The first step to transferring orthodontic treatment to our office is to provide Dr. Jones an American Association of Orthodontics (AAO) transfer form completed by your current doctor and copies of initial records (pano, ceph, pictures). If you are an Invisalign patient, we also need your patient number (printed on your Invisalign boxes/can call Invisalign to request). We cannot request records from your doctor due to HIPAA protections. You must request the records and have them emailed or mailed to us. Once we receive the transfer paperwork, Dr. Jones will review it promptly to ensure your case can be treated at our office. We will then call you to schedule an initial consultation. At the consultation, we will take updated records (pano, ceph, scan) to establish the status of your treatment, and Dr. Jones will review with you what is required to complete treatment. The cost of the consultation is $150 (non-refundable) and is due when scheduling the appointment. The payment for the consultation will be applied to the cost of treatment in our office if you choose to continue treatment in our office. Fees for transfer cases are calculated based on time left in treatment. Dr. Jones will estimate a number of months left, and the fee will be: numbers of months X $200 + $750 (removal and retainers fee). 

Alternatively, if no transfer paperwork is available (closure of office ect) please email or mail any documentation available (orthodontic treatment contract, EOB, previous doctor and office information). Dr. Jones will review the paperwork provided and will recommend either a transfer consultation or removal based on the status of the patient. 

If no transfer paperwork is available, we offer removal of attachments or braces to end orthodontic treatment including upper and lower clear retainers for $750. Payment is due prior to scheduling an appointment. A discontinuing of orthodontic treatment form will be signed by the patient or guardian prior to removal. Records (Pano, ceph, pictures) will be taken prior to removal and afterwards (Pictures). Once removed, if a patient wants to continue treatment, they can schedule a new patient appointment for a full exam and consultation with Dr. Jones. 

If you have any questions, please do not hesitate to follow up by email or phone. We look forward to meeting you!