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4 Offices
  • Clarksville -
    Ft. Campbell

    2485 Ft. Campbell Blvd.,
    Suite 105
    Clarksville, TN 37042

    (931) 249-8440

  • Clarksville -
    Rudolph Town

    2309 Rudolphtown Rd.
    Clarksville, TN 37043

    (931) 436-7750

  • Nashville - Bellevue

    7518 Hwy. 70 S.,
    Suite A
    Nashville, TN 37221

    (615) 739-5520

  • Springfield

    3130 Tom Austin Hwy.,
    Suite D
    Springfield, TN 37172

    (615) 384-2484

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  • About Us
    • Meet Dr. Shawn
    • Meet Dr. Candice
    • Meet the Team
    • Tour Our Offices
      • Clarksville Orthodontics
      • Nashville Orthodontics
      • Springfield Orthodontics
    • Careers
    • Blog
  • New Patients
    • Why Choose Us
    • Testimonials
    • Your First Visit
    • Free Consultation
    • Insurance & Finances
    • Patient Forms
  • Our Treatments
    • Invisalign
    • Invisalign for Teens
    • Clear Braces
    • Metal Braces
    • Orthodontics for All Ages
    • Orthodontic Info
      • Orthodontic FAQs
      • Orthodontic Emergencies
      • Orthodontic Care
  • Contact Us
    • Free Consultation
    • Virtual Exam
    • Make a Payment
    • Refer a Friend
    • Reviews
Free Consult
  • MAKE A PAYMENT
  • Clarksville - Ft. Campbell

    2485 Ft. Campbell Blvd., Suite 105
    Clarksville, TN 37042
    (931) 249-8440

  • Clarksville - Rudolph Town

    2309 Rudolphtown Rd.
    Clarksville, TN 37043
    (931) 436-7750

  • Nashville - Bellevue

    7518 Hwy. 70 S., Suite A
    Nashville, TN 37221
    (615) 739-5520

  • Springfield

    3130 Tom Austin Hwy., Suite D
    Springfield, TN 37172
    (615) 384-2484

Online Patient Forms

Adult Patient Form Child Patient Form
Consent To Undergo Treatment HIPAA
Authorization Form

Patient Form PDFs

Child Patient Forms (English) Child Patient Forms (Spanish)
Adult Patient Form (English) Adult Patient Form (Spanish)
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Clarksville - Ft. Campbell

2485 Ft. Campbell Blvd., Suite 105
Clarksville, TN 37042

(931) 249-8440

Clarksville - Rudolphtown

2309 Rudolphtown Rd.
Clarksville, TN 37043

(931) 436-7750

Nashville - Bellevue

7518 Hwy. 70 S., Suite A
Nashville, TN 37221

(615) 739-5520

Springfield

3130 Tom Austin Hwy., Suite D
Springfield, TN 37172

(615) 384-2484

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