Now providing orthodontic services in Sooke.

  • Patient Information

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  • If patient is under the age of 19.
  • Primary Dental Insurance Information

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  • 2nd Dental Insurance

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  • Additional Information

  • Radiographs Attached

    File formats: .jpg, .jpeg, .png, .pdf
    Max file size: 5MB
  • Drop files here or
    Accepted file types: jpg, jpeg, png, pdf, Max. file size: 5 MB, Max. files: 4.
      Max files: 4
    • Drop files here or
      Accepted file types: jpg, jpeg, png, pdf, Max. file size: 5 MB, Max. files: 4.
        Max files: 4
      • Drop files here or
        Accepted file types: jpg, jpeg, png, pdf, Max. file size: 5 MB, Max. files: 4.
          Max files: 4
        Close Calculator

        Fee Calculator

        Enter the cost of your orthodontic treatment provided to you at your initial complimentary consultation.

        $

        Down Payment

        $100

        Slide to set the amount you wish to pay upfront, starting at $100.

        Repayment Length (months)

        0

        Slide to adjust the number of months over which the payments will be made.

        Would you like to deduct insurance?

        Insurance Coverage (%)

        0%

        Your insurer’s coverage rate for Orthodontics. This % of your Down Payment should also be returned to you.

        Lifetime Max

        Does your Insurer have a lifetime maximum payable for orthodontic treatment?

        Total Insurance Limit

        The total amount your Insurer will cover up to.

        $

        *Monthly payment

        $0

        *Based on the insurance limit you have entered , your policy will only allow you claim up to that amount. As a result, we have adjusted the monthly payment to reflect this; your portion will be .

        *We offer interest free monthly repayment plans!