RANDY L. GITTESS, DDS, PA • ORTHODONTIST • BRACES • 407-699-1200
Click each brochure to learn more
about orthodontics & your options
about orthodontics & your options
- About Us
On your complimentary first visit you will meet our Treatment Coordinator for a tour of our office.
During the tour, one of our Certified Orthodontic Assistants will take radiographs of your teeth and jaw bones. This will enable Dr. Gittess to determine if orthodontic problems are present.
Dr. Gittess will then join you for a complete evaluation of your orthodontic condition with specific recommendations for your needs.
Following your evaluation, you will be presented with the treatment cost for your orthodontic needs. Our services include a no interest payment plan that can be modified to meet different family needs.
Please allow 40-60 minutes for this initial visit in order to receive all the information you need to make comfortable decisions.
Please fill out the following form to schedule an appointment:
| Patient Name: | ||
| Parent Name: | ||
| New Patient: |
|
|
| Street Address: | ||
| City, State, Zip: | , | |
| Home Phone: | ||
| Work Phone: | ext. | |
| Cell Phone: | ||
| E-Mail: | ||
| Patient's Age: | ||
| Patient's Dentist: | ||
| How Did You Hear About Us? |
||
| Comments: | ||