Your first consult is free, and no referral is needed. Book a free consult

Brightwell Orthodontics

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Contact

Book a free consult

Treatments

All treatments
Braces
Clear aligners
Early treatment
Adult orthodontics
Retainers
Surgical orthodontics

Practice

Pricing
Smile gallery
Team
Reviews
Contact
About us
FAQ

Book a free consult Call or text (608) 555-0142

Free consultation

Book a free consult

Five short steps, about two minutes. Hannah confirms by text or phone within one business day.

Free, no referral
About an hour
In person, Madison

Step 1 of 5

Patient

Patient
Concerns
Insurance
Day and time
Contact

Who is the consult for?

A child About 6 to 12 A teen 13 to 17 An adult 18 and up

Please pick who the consult is for.

Who is filling this in?

I am the patient I am a parent or guardian booking for my child I am booking for another adult in my family

Please tell us who is booking.

Patients under 18 come with a parent or guardian, who signs the consent forms.

Patient's first name

Please enter the patient's first name.

Age

Please enter an age.

What would you like to change?

Pick all that apply. Not sure is a perfectly good answer.

Crowded or crooked teeth Gaps between teeth Overbite (upper teeth stick out) Underbite or crossbite Front teeth do not touch Had braces before and teeth shifted Our dentist suggested a check Not sure, just want a look

Please pick at least one.

Leaning toward

Braces Clear aligners Open to either

Anything else we should know? (optional)

Insurance and payment

We check benefits for free before the consult, so the numbers you see already count insurance.

Dental insurance

Yes, with orthodontic coverage We have dental insurance, not sure about ortho No dental insurance

Please choose one.

Insurance company (optional)

How would you like to pay?

A monthly plan Pay in full (5% off) FSA or HSA, plus a plan Not sure yet

Please choose one. "Not sure yet" is fine.

Pick a day and time

Free consults over the next two weeks. Tuesday and Thursday run until 7 p.m.

Day

Please pick a day.

Time

Pick a day first.

Please pick a time.

None of these work. Call me with other times.

Your details, then check it over

Your name

Please enter your name.

Mobile phone

Please enter a 10-digit phone number.

Please enter a valid email address.

Best way to confirm

Text Call Email

Your request

It is OK to contact me about this request by text, phone or email. I can opt out any time.

Please tick the box so we can confirm your consult.

Demo site: nothing you type here is sent or stored.

Request received

Reference

This is a demo.

Nothing was sent and no appointment was made. On a real site, Hannah would confirm by your chosen method within one business day, and Rosa would check insurance before the visit.

Bring along:
Insurance card, if you have one
A parent or guardian, for patients under 18
Your questions. All of them.

What happens at the consult

About 45 to 60 minutes with an orthodontist
Photos and a quick 3D scan (no impression trays)
Options side by side, with a typical time range
Your fee and monthly plan in writing to take home
No pressure to start that day, or at all

Rather talk to a person?

Call or text Hannah during office hours.

(608) 555-0142

Brightwell Orthodontics

Braces, clear aligners and retainers for kids, teens and adults in Madison, Middleton, Fitchburg, Verona, Monona and Sun Prairie. Since 2012.

(608) 555-0142 Call or text. Loose bracket after hours? The voicemail gives our on-call number.

Treatments

Braces
Clear aligners
Early treatment
Adult orthodontics
Retainers
Surgical orthodontics

Practice

About us
FAQ
Pricing
Smile gallery
Team
Reviews
Contact
Book a free consult

Visit

1180 Willowbrook Ave, Suite 210
Madison, WI 53711

Open in Maps (opens in a new tab)

Mon, Wed: 8 to 5
Tue, Thu: 10 to 7 (after school)
Fri: 8 to 2 · Sat: two a month

hello@brightwellortho.example

Brightwell Orthodontics is a fictional practice. This website is a design demonstration: no real doctors, patients, prices, reviews or appointments.

Treatment times and prices are typical ranges, not promises.

Fictional sample site by SearchPod