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Spring Savings Event – $1,000 Off Invisalign® & Braces Ends May 15!

Terms & conditions apply.

Glen Carbon

Glen Carbon618-288-0600

O’Fallon

O’Fallon618-622-3377

Clayton

Clayton314-721-5551

St. Peters

St. Peters636-939-3777

Share A Smile Referral Program

Smiles Are Contagious—Your Friend Wanted to Share Theirs!

Welcome to Amazing Smiles Orthodontics! Your friend shared their smile journey with you—now it’s your turn. Scheduling your FREE consultation is quick and easy. Just fill out the form below and be sure to mention their name so they can be entered into our quarterly prize drawing! Love your experience? Refer your friends, and you could be entered to win too!

"*" indicates required fields

Who Referred You?

Full Name*

Phone*

Email

Your relationship to the person who referred you:*

i.e. parent, sibling, friend, etc.

Your Information

First Name*

Last Name*

Phone Number*

Email Address*

Date of birth*

Choose a location*

Please select who this appointment is for*

How many children is this appointment for?*

Children information

Child 1 Full Name*

Date of Birth 1*

Child 2 Full Name*

Date of Birth 2*

Child 3 Full Name*

Date of Birth 3*

Message

Terms & Conditions*

I have read, understood and agree to the Privacy Policy. We may text you from time to time about our awesome promotional offers and other fun happenings at our practice! By checking this box you agree to receive those periodical texts. We never want to annoy you, and you can always opt-out of those by replying STOP. Reply HELP for help. Message frequency varies. Messaging and data rates may apply.

How to prepare for your first visit

Your journey to a beautiful smile begins here

Schedule Consultation

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