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RETENTION PHASE
The following information has been explained to me regarding the Retention Phase of my orthodontic treatment:
1. Retention is the most vital portion of treatment since it maintains the treatment results that were achieved.
2. If I do not comply by wearing my retainers as instructed, I am aware that my teeth may not maintain their corrected position.
3. There will be an additional treatment fee if I choose not to wear my retainers and wish to have my teeth aligned at a later date if they become crooked.
4. I will always bring my retainer with me to my appointments.
5. When the retainer is not in my mouth, it must be in the case provided.
6. There will be a charge for lost or damaged retainers.
7. I am responsible for keeping my teeth straight.
I am fully aware of the consequences if I do not comply with the instructions that have been explained to me. I accept responsibility for the Retention Phase of my orthodontic treatment.
Patient__________________________ Parent_______________________