Examination and treatment plan
Confirm the required examination, records and planning, and whether they are within the case quotation.

UNDERSTAND YOUR QUOTATION
Confirm each service below in your written quotation. This checklist does not mean that every stage is included in the listed item.
Confirm the required examination, records and planning, and whether they are within the case quotation.
Confirm the digital planning scope, the prescribed bracket and wire system, custom features and treated arches.
Ask how the prescribed appliance is positioned and bonded, including any placement guides or attachments required for your case.
Agree which review visits, appliance adjustments and finishing or refinement stages are covered.
Ask about extractions, anchorage screws, 3D planning and complexity fees. The source lists these separately; confirm any credit or additional charge.
Confirm retainer design, supply, reviews, replacement charges and who provides continuing care.
Educational illustrations. Components, clinical suitability and the agreed service scope require an individual plan.
BEFORE YOU DECIDE
Confirm examinations, appliance, bonding, review adjustments and finishing scope. Ask about retainers, extractions, anchorage screws, 3D planning and complexity fees.
Orthodontic care may require repeated visits and continuing support. Confirm the proposed schedule and local follow-up before committing to travel; no fixed duration is promised.
Illustrative planning scenes. Your written quote and clinical plan define the scope and appointments.
YOUR NEXT STEP
Request a written Insignia plan covering suitability, digital planning, the exact appliance, treated arches, reviews, separate procedures and retention. Clinical assessment is required before treatment decisions.
Clinical suitability and appointment dates require confirmation. This form is not for emergencies.
Insignia Digital Custom Braces in China