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Invisalign Treatment
When are you available for procedure?
Procedure
Invisalign Treatment
Date from
Date to
Please briefly describe your problem.
How did your problem occur?
When did your problem occur?
Within 2 months
Within 6 months
More than 6 months ago
Have you undergone any treatment before?
Yes
No
Have you undergone any diagnostics before?
Yes
No
Do you have any medical records related to your issue?
Yes, I have medical records
No, records are at the hospital
No, I have none
How old are you?
Younger than 18
18-25
26-35
36-49
50-65
Older than 65
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