Hart Family Dental

Preliminary smile assessment

Share a few details so we can schedule the right next step. Treatment is always dentist-supervised — never do-it-yourself orthodontics.

Request appointment

What happens next

Wendy Delgado follows up for both offices. If you’re a potential candidate for supervised straightening, we’ll schedule consult/records so a dentist can review before any approval.

Submit this preliminary assessment
We contact you to schedule
In-office exam / scans / X-rays as required
Dentist review and decision
Transparent pricing discussion if approved

Prefer to read first? See dentist-supervised teeth straightening.

Assessment form

This is a preliminary assessment only. It is not a diagnosis, prescription, or treatment approval. A licensed dentist must review records and approve any straightening plan.

Full name

PhoneEmail

Preferred officeWhat are your smile goals?Have you had braces or aligners before?When was your last dental exam?Any current tooth pain, swelling, or urgency? (optional)Preferred follow-upMessage (optional)I agree to receive appointment-related texts from Hart Family Dental. Message/data rates may apply. Reply STOP to opt out. Consent is not a condition of purchase or treatment.I agree to receive email updates. I may unsubscribe anytime.I understand this assessment is preliminary only and does not approve treatment. A dentist must examine and approve any care plan.