Appointment Request


The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.


Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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Colorado Springs Orthodontics

Colorado Springs Orthodontist, Dr. Bangorn Terry is dedicated to Orthodontics offering services such as braces, Invisalign and other orthodontic treatments at an affordable price, such as Clear Braces. We are looking forward to your visit to our Colorado Springs, CO orthodontic office.

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