Accessibility Tool
This tool uses cookies, click confirm below to use this tool
Confirm
Press
Shift
+
a
to open/close this menu
Grayscale
Grayscale
Contrast Level 1
Contrast Level 2
Contrast Level 3
Contrast
Invert Colors
Invert
Cursor
a
Font Size Level 1
a
Font Size Level 2
a
Font Size Level 3
Font Size
Reset Accessibility Options
Menu
Facebook
Google+
Instagram
Twitter
Youtube
Rapid City, South Dakota
(605) 342-7777
Evans Orthodontics
Facebook
Google+
Instagram
Twitter
Youtube
Home
About Us
Meet the Doctors
Meet the Team
40 Reasons to Choose Us
Raving Reviews
Before/After Photos
Community Involvement
Our Mission
Office
Appointment Request
Office Tour
Map & Directions
Financial Information
Office Information
Patient
When to See an Orthodontist
First Visit
Patient Forms
FAQ
Comfort Appointments
Improper Bites
Oral Hygiene
Foods to Avoid
Treatment
Early Treatment
Adolescent Treatment
Adult Treatment
Types of Braces
Retention
Invisalign
Spark Aligners
Palatal Expanders
Damon Braces
Propel VPro5
Glossary
Fun Zone
Contests
Upcoming Events
Patient Thank Yous
Newsletter
Related Links
Contact Us
Appointment Request
Patient Portal
Smileage Plus Rewards Hub
Home
About Us
Meet the Doctors
Meet the Team
40 Reasons to Choose Us
Raving Reviews
Before/After Photos
Community Involvement
Our Mission
Office
Appointment Request
Office Tour
Map & Directions
Financial Information
Office Information
Patient
When to See an Orthodontist
First Visit
Patient Forms
FAQ
Comfort Appointments
Improper Bites
Oral Hygiene
Foods to Avoid
Treatment
Early Treatment
Adolescent Treatment
Adult Treatment
Types of Braces
Retention
Invisalign
Spark Aligners
Palatal Expanders
Damon Braces
Propel VPro5
Glossary
Fun Zone
Contests
Upcoming Events
Patient Thank Yous
Newsletter
Related Links
Contact Us
Appointment Request
Patient Portal
Smileage Plus Rewards Hub
Last item for navigation
Appointment Request
Appointment Request
*
Patient Name: (Required)
Parent Name: (if patient is a minor)
New Patient?
Yes
No
*
E-mail: (Required)
Phone Number:
Home Address:
City:
State:
Zip:
Preferred Days:
Convenient Times:
How did you hear about our practice?
Select an Option
Advertisement
A Friend
Internet
Staff Member
Yellow Pages
Other
How did you find our website?
Select an Option
Advertisement
A Friend
Search Engine
Other
Comments:
