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I hereby certify that I have answered the assessment questions truthfully and accurately to the best of my knowledge. I understand that YourSmileDirect.com is for natural teeth, and that ankylosed teeth and dental implants will not move. I understand the risks of orthodontic treatment include, but are not limited to, potential loss of bone or gum tissue, loosening of teeth, shortening of tooth roots, and jaw dysfunction or discomfort. Your Smile Direct align the top 6 teeth and bottom 6 teeth as part of aligner treatment. These are considered your ‘social 6’ in dental terms. Chronic usage of anti-inflammatory medications, aspirin, estrogens, or calcitonin may slow or limit tooth movement. I hereby certify that I have been examined by a licensed dentist within the past year, have received a cleaning in the last six months, and do not have any of the above conditions or any other condition that may affect my medical or dental health or ability to be treated properly. Additionally, I understand that I have been advised by YourSmileDirect.com, that my best health interest would be served by having an orthodontic consultation by a licensed dental professional before purchasing any dental aligner or positioning system.I certify that I am over 18 years of age and do not wish to have an “in person” orthodontic evaluation before purchasing the YourSmileDirect.com Aligner System. In the event that I do not proceed with treatment due to a contraindication or treatment or any other medical reason, I will seek care and follow up with my regular dental professional. I have read and understand Your Smile Direct Ltd’s Terms and Conditions and agree to be bound by them. I accept that the predictive positioning is an estimated position and I am not guaranteed to achieve these results. I agree to wear a Your Smile Direct retainer for 22 hours a day, for 6 months, followed by indefinite use of the retainer at night, to maintain the results of my treatment and promote healing. I agree to enter this treatment plan and will not hold YourSmileDirect, any supplier, or any member of staff responsible for my medical or dental health.
Full terms can be reviewed at: www.yoursmiledirect.com/terms
By clicking 'I Agree' below you have read and understood the terms conditions supplied in the above treatment plan and you are ready to begin your treatment.