Get $1000 Off Your Braces or Invisalign Treatment

We want to give everyone a healthy, beautiful smile. Our orthodontic office works with a range of ages including kids, teenagers, and adults. People of every age can pursue the smile they've always wanted.

Fill out the survey below to find out if you are a candidate for Braces or Invisalign & to request a consultation.

Treatment Name

Lead Type

Who is this consultation for? *

Myself

My child

Other family member

Please fill out this brief form to Request Your AviClear Consultation with LifeSmile Orthodontics.

What are you interested in? *

Braces

Invisalign®

Not sure, I'd like a recommendation

What is your first name? *

Choose as many as you would like. We will do our best to accommodate your request.

What would you most like to improve about you or your child’s smile? *

Crooked teeth

Crowding

Gaps between teeth

Bite issues (overbite, underbite, crossbite)

Relapse after previous orthodontic treatment

General smile appearance

Select All That Apply

Have you or your child had orthodontic treatment before? *

Yes, braces

Yes, Invisalign

Yes, other

What is your last name? *

What days work best for a consultation? *

Monday

Tuesday

Wednesday

Thursday

Friday

Flexible

Preferred time of day? *

Morning

Afternoon

Evening

No preference

Our office is located at: 2437 Colony Crossing Pl, Midlothian, VA 23112. Do you live or work within 25 miles of our office? *

Yes

When are you hoping to start treatment? *

As soon as possible

Within the next month

Within 2–3 months

Just researching my options

What is your phone number? A member from our team will reach out to you to schedule your consultation. *

Lastly, what is your email? *

VISIT US.

2437 Colony Crossing Place, Midlothian, VA 23112

Phone: (804) 601-6060

Hours:

Monday: 9:00am – 6:00pm

Tuesday: 9:00am – 5:00pm

Wednesday: 10:00am – 7:00pm

Thursday: 9:00am – 5:00pm

Friday: 7:30am – 2:00pm

Saturday: By Appointment Only

Sunday: Closed

Get $1000 Off Your Braces or Invisalign Treatment

We want to give everyone a healthy, beautiful smile. Our orthodontic office works with a range of ages including kids, teenagers, and adults. People of every age can pursue the smile they've always wanted.

Fill out the survey below to find out if you are a candidate for Braces or Invisalign & to request a consultation.

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