Diagnostic work
Clarify the consultation, bite assessment and any required images or records and their charges.

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.
Clarify the consultation, bite assessment and any required images or records and their charges.
Confirm how the appliance will be made and whether the required impressions, scans and bite registration belong to this fee.
Specify the upper and lower components and any prescribed additions. Confirm laboratory and replacement arrangements.
Ask about the fitting appointment, instruction for both parts, cleaning and what to do if the child has difficulty.
Record which follow-up visits and adjustments are covered and which could incur a separate charge.
Ask how the functional-appliance phase ends and whether subsequent alignment, retention or other care will be separately quoted.
Educational illustrations. Components, clinical suitability and the agreed service scope require an individual plan.
BEFORE YOU DECIDE
The listed unit is an appliance set. Establish the inclusion of records, manufacture, fitting and adjustments, and separate replacement or later orthodontic charges.
Timing follows the child’s development, diagnosis and progress. Discuss reviews and ongoing support near home before fixing travel dates; no standard duration is promised.
Illustrative planning scenes. Your written quote and clinical plan define the scope and appointments.
YOUR NEXT STEP
Request an assessment of suitability, a prescription for the paired appliance and a quotation covering manufacture, delivery, reviews and the boundary with later treatment.
Clinical suitability and appointment dates require confirmation. This form is not for emergencies.
Twin-Block Functional Appliance in China