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HUB CITY ORTHODONTICS PATIENT REGISTRATION(PLEASE PRINT) PATIENT Patient\'s Last Name: ___ First Name: ___ Middle Name/Initial: ___ Birth Date: ___/___/___ Age: ___Identifies as Male/Female/___ Prefers
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Hub City Orthodontics is a dental practice that specializes in providing orthodontic treatments such as braces and aligners to improve patients' dental alignment and overall oral health.
Patients seeking orthodontic treatment from Hub City Orthodontics are typically required to file for services, which may include insurance claims and necessary paperwork for their treatment plans.
To fill out Hub City Orthodontics paperwork, patients need to provide personal information, medical history, and insurance details. It's best to follow the office's specific instructions and forms provided during the consultation.
The purpose of Hub City Orthodontics is to provide specialized orthodontic care to improve the alignment of teeth and jaws, enhance aesthetics, and promote better oral health.
Information that must be reported includes the patient's medical history, dental records, treatment plans, and insurance information as required by the practice.
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