Invisalign Graduation Consent


I am happy with the current position of my teeth and know that my orthodontic treatment has been completed. I have been given the opportunity to request changes to the current position of my teeth but have declined.

I will have scheduled retainer check appointments at 6, 12 and 24 months. I will also be able to book an appointment if I have concerns. I have been given multiple sets of retainers and been informed that it is my responsibility to wear them according to the instructions I have been given.

If teeth do move and require additional treatment within two years of completing treatment, it will be at an additional cost of 30% of the cost of treatment.

I have been made aware I must use retainers 24 hours a day for 6 months, and then nighttime wear after that to prevent my teeth from moving out of the proper alignment. I understand that retainers are to be worn as much as they are needed. If they are tight when they go in, this means that they are aligning teeth instead of retaining them. If this occurs, retainers are to be worn more often.

I understand that it is MY responsibility to ensure that my teeth do not move through adequate use of my retainers, and NOT the responsibility of my doctor.

If there are issues with retainers, I understand that I can book an appointment and will not be charged to do so. It is recommended that if I have any concerns, I book an appointment before any of the teeth shift or move to avoid re-treatment costs.

I understand that I am to keep my retainers clean and keep them for as long as possible. I will be given a set of 12 that should last for between 2 months to 1 year each, dependant on how they are cared for. If I have any questions about the care of my retainers I am aware that I am able to contact the orthodontic team within regular business hours.

I CERTIFY THAT I HAVE HAD AN OPPORTUNITY TO READ AND FULLY UNDERSTAND THE TERMS AND WORDS WITHIN THE ABOVE CONSENT AND THE EXPLANATIONS/LIMITATIONS PROVIDED. I ALSO STATE THAT I READ AND WRITE IN ENGLISH; IF THIS IS NOT THE CASE I CERTIFY THAT I HAVE HAD THE OPPORTUNITY TO HAVE THIS DOCUMENT TRANSLATED FOR ME