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Complimentary Initial Orthodontic Exam


A complimentary consultation at Chapel Hills Orthodontics in Colorado Springs gives you the opportunity to meet, one to one, with Dr. Schultz. You will receive a thorough examination so you can find out what your orthodontics treatment plan includes, explore various treatment options and choose the approach - and the payment plan - that fits your life and your budget. Whether it’s for you or your children, it’s the best way to get on the path to a future full of smiles.

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Before You Arrive

To save time when you come for your initial exam, please take a few minutes to fill out the required health history form. Choose the appropriate form below; print it at home, fill it out and then bring it with you to your appointment.

Adult Health History FormAdult Health History Child Health History FormChild Health History

Chapel Hills Orthodontics believes that everyone deserves a healthy, beautiful smile. One of the ways we live that out is in our commitment to never let the cost of treatment get in the way. We offer a number of flexible payment options, accept most major credit cards and we accept most orthodontic insurance plans. When you call to schedule your initial orthodontic consultation, be sure to tell us about any insurance. We accept most insurances, including:
• Aetna
• Assurant
• Blue Cross/Blue Shield
• Beta Health Association PPO Plan
• Cigna
• Delta Dental of Coloraod
• Delta Dental of CA (Federal Government Program)
• Guardian
• Met Life
• Team Care
• United Concordia
• United Health Care