Invisalign transfer form 2025

1. Click ‘Get Form’ to open the invisalign transfer form in the editor.
2. Begin by filling out the 'Patient Information' section. Enter the patient's name, patient number, gender, and date of birth accurately.
3. In the 'Release of Patient (Current Doctor)' section, indicate your consent to transfer the patient by signing in the designated area. Ensure you provide your name, practice name, and address.
4. Next, specify the 'Reason for Transfer' and ensure that all details are clear and concise.
5. In the 'Acceptance of Patient (New Doctor)' section, the new treating doctor must fill in their information and sign to accept responsibility for future treatment costs.
6. Finally, review all entered information for accuracy before submitting. Once completed, fax the form to Align Technology at 408-790-0670.

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