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 COMPLIMENTARY CONSULTATION 

The first appointment that you will have at Wesley Orthodontics is an examination and consultation appointment, which allows us to get acquainted and determine the specific nature of the problem we are dealing with.  We will answer many of the questions that you may be concerned about such as: Is treatment necessary?  When should I start?  How long will it take?  How much will it cost?  Dr. Wesley's objective is to clearly outline treatment methods and the duration of treatment.  Any questions you have will be answered at this time.

Dr. Wesley and his staff will reserve forty minutes to thoroughly examine the patient and answer your questions.  Please call us immediately if you are unable to keep your appointment.  This appointment is available at NO CHARGE, unless you fail to reschedule this appointment 48 hours in advance, or do not show up.  A charge of $60.00 will be billed to you for Doctor and staff time set aside for the appointment you scheduled, if missed without a phone call.

  • When calling to set up an appointment, please have your insurance information handy so that we can have your detailed explanation of insurance benefits faxed to us from your insurance company, in time for your appointment.
  • Please bring the patient registration form sent to you by mail or downloaded from our website, filled out in its entirety.

If you have any questions, please call us at 586-727-3838 or 313-640-7777.  We look forward to hearing from you!

 Patient Registration Form 

For your convenience, you may download our patient registration form simply click on the picture to the left.  (You must have Adobe Acrobot Reader to view this document.)  Simply print it from your own computer, fill out both sides of the registration form, including the patient's medical history, and then bring it with you to your free orthodontic consultation. 

If you would rather have a staff member call you, please fill out the following Pre-Registration Form.  Be sure to include any questions and/or orthodontic concerns in the comment area of this form.   One of our friendly staff members will contact you as soon as possible.  Thank you for your interest in Wesley Orthodontics, P.L.L.C.

 Pre-Registration Form 

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    Let Us Make You SMILE!

    Richmond 36590 Heritage Drive  586 727 3838

    Marysville 1100 Michigan Ave.  810 388 9958

    Grosse Pointe 20155 Mack Ave 313 640 7777

    Email: info@WesleyOrtho.com

    Website maintained by K Brown - Copyright 2007

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