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Fort Collins (970) 226-6443
4144 Timberline Rd, Fort Collins, CO 80525
Loveland (970) 226-6443
3520 E 15TH St STE 101, Loveland, CO 80538

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Smile Refresh
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Home
About Us
New Patients
Smile Refresh
Orthodontic Treatments
Patient Rewards
Blog
Contact Us

Patient Forms

Patient Forms

Fill out our digital forms for your location and doctor.

CHILD - Ft. Collins - Dr. Seager
CHILD - Ft. Collins - Dr. Jared
CHILD - Loveland - Dr. Seager
CHILD - Loveland - Dr. Jared

ADULT - Ft. Collins - Dr. Seager
ADULT - Ft. Collins - Dr. Jared
ADULT - Loveland - Dr. Seager
ADULT - Loveland - Dr. Jared

Please take a minute to print and fill out the patient information form before your first appointment:

Patient Form (Child)

Patient Form (Adult)

Notice of Privacy Practices

Welcome Materials

HIPAA Compliance

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We look forward to helping your family with their orthodontic needs and welcome the opportunity to be of service to you and your family!

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Locations

4144 TIMBERLINE RD
FORT COLLINS, CO 80525
(970) 226-6443

3520 E 15TH ST, STE 101
LOVELAND, CO 80538
(970) 226-6443

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