Home
Forms Library
Orthodontic payment plan template

Get the up-to-date orthodontic financial agreement 2025 now

orthodontic payment plan template Preview on Page 1

Show details

4 out of 5

44 votes

The document is a contract for orthodontic treatment at Great Whites Pediatric Dentistry & Orthodontics, outlining the payment structure, including total fees, initial and monthly payments, and what the fees cover. It specifies that additional charges may apply for certain circumstances and emphasizes that the patient or responsible party is accountable for any outstanding balances, particularly in relation to insurance coverage.

Here's how it works

01. Edit your orthodontic payment plan template online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send orthodontic contract sample via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact Orthodontic financial agreement online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for changing your paperwork online. Adhere to this simple guideline redact Orthodontic financial agreement in PDF format online at no cost:

Register and sign in. Register for a free account, set a strong password, and proceed with email verification to start working on your forms.
Upload a document. Click on New Document and choose the file importing option: upload Orthodontic financial agreement from your device, the cloud, or a secure link.
Make adjustments to the sample. Take advantage of the upper and left-side panel tools to edit Orthodontic financial agreement. Add and customize text, images, and fillable areas, whiteout unneeded details, highlight the important ones, and provide comments on your updates.
Get your paperwork accomplished. Send the form to other people via email, create a link for faster document sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail added.

Explore all the advantages of our editor right now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I sign my [KEY] free of charge?

Most eSignature solutions require users to have a paid subscription. With DocHub, there are two ways for you to create an electronic signature to your [KEY] without being charged:

You can do it during a 7-day trial period;
You can subscribe to a free plan.

The second option, though, has restrictions on the number of signatures, sign requests, emails, and documents for editing available per month. You can check for full details here.

How do you edit [KEY] from Google Drive?

If you store your files in Google Drive, there is no need to download your [KEY] on your computer and upload it back to our editor. A significantly easier way is to set up a browser extension created by DocHub to streamline this flow. The extension allows editing PDFs in your web browser. Alternatively, you may integrate your DocHub and Gmail accounts for more efficient editing.

Can FSA pay for braces?

There are quite a few types of braces available these days, and fortunately, all of them are eligible for FSA coverage. Traditional metal braces are a popular option since they're the most effective and usually the most affordable.

What do orthodontists do at retainer checks?

The orthodontist will check if they are doing their job of keeping the teeth in place and if they still fit well otherwise, necessary adjustments will be made. Regular checkups with the dentist are also essential when wearing retainers.

Can you pay off braces early?

While it might not be the response you're hoping for, the simple answer to this question is no. However, it is possible to experience slower treatment times if you don't follow your orthodontist's instructions, including proper care of your braces.

orthodontic financial agreement

Orthodontic financial agreement forms Invisalign financial agreement form

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How often are retainer checks?

Orthodontist Appointments After Braces After braces treatment, you'll go to two retainer check-in appointments in the first year, and then once a year to monitor your wisdom teeth if you still have those.

How do they scan your teeth for retainers?

Impressionless scanning is an innovative technology used to take oral impressions for braces, Invisalign®, appliances and retainers. Impressionless scanning uses confocal imaging to digitally capture the shape of the teeth and gums, providing a multitude of patient benefits and orthodontic improvements.

What is an orthodontic contract?

A lump sum contract includes all of the treatments, services and products that actually go into an orthodontic care plan such as diagnostic records, the cost of braces, the cost of appliances, and all office visits during what we call the active phase of treatment.

How long does a retainer check take?

You can expect these appointments to be about 20 minutes long for routine check-ups and longer for adjusting treatment. You should do your best to stick to the schedule given to you by your specialist, so they can keep track of how your treatment is developing.

What do orthodontists do at a consultation?

At a consultation appointment, you'll explain your concerns about your teeth and your smile to the orthodontist. The orthodontist will examine your teeth and other oral tissues. A staff member may take notes about what the orthodontist finds.

Get the up-to-date orthodontic financial agreement 2025 now

Here's how it works

How to quickly redact Orthodontic financial agreement online

Complete this form in 5 minutes or less

Got questions?

How do I sign my [KEY] free of charge?

How do you edit [KEY] from Google Drive?

Can FSA pay for braces?

What do orthodontists do at retainer checks?

Can you pay off braces early?

Complete this form in 5 minutes or less

People also ask

How often are retainer checks?

How do they scan your teeth for retainers?

What is an orthodontic contract?

How long does a retainer check take?

What do orthodontists do at a consultation?

orthodontic contract template

Try more PDF tools