PATIENT COOPERATION PROGRAM


Throughout your orthodontic care, it is very important you are careful with your appliances. Whenever you break or loosen a bracket or band you can actually prolong your treatment time. By following our instructions and guidelines, you will keep your breakage to a minimum assuring you of a more satisfying result in a reasonable amount of time.

Because your progress is so important to us we have instituted a patient cooperation program.

HOW IT WORKS
Each time you come in for a regular progressive appointment you will receive one token if you have:

1. Clean teeth and braces
2. No broken bands or brackets
3. Compliance with special instructions (e.g.headgear or elastic wear)

PRIZES
  6 Tokens: $5.00 7-11 Gift Card
10 Tokens: $10.00 Target Gift Card
15 Tokens: 2 Island 16 Movie Tickets OR $15.00 Itunes Gift Card
20 Tokens: $20 Amazon OR Steam Gift Card
25 Tokens: $25.00 Best Buy OR Modell's Sporting Goods Gift Card

THIS PROGRAM IS DESIGNED TO REWARD PATIENTS FOR THEIR GOOD EFFORTS.

UPON REMOVAL OF YOUR BRACES, PLEASE TURN IN YOUR TOKENS FOR THE PRIZE OF YOUR CHOICE. ANY UNUSED TOKENS MUST BE TURNED IN AS THEY ARE NOT TRANSFERABLE TO ANOTHER PATIENT.

(THAT WOULD DEFEAT THE PURPOSE OF THIS PROGRAM)