Download Certificate of Clean Teeth

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Certificate of Clean Teeth
Maintaining regular dental check-ups is important during orthodontic care
in order to help remove calculus, stains, and provide
oral hygiene motivation.
This acknowledges that
Has successfully completed a dental cleaning at
's office
Dr.
Dentist or Dental Hygienist
Date
This signed certificate is good for five (5) Wooden Nickels in
Dr. John Crawford's office.
* Continue to see your Dentist or Hygienist every 6 months for a cleaning &
examination during orthodontic treatment