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Get AAO Transfer Form Patient in Active Treatment 2009-2024

Name) Signature: __________________________________________________________Date_______________________ (Patient or Guardian) 2 © American Association of Orthodontists 1999 Transfer – Active 5/00 Reviewed 09/09 Print Name ________________________________________ Relationship to Patient _______________________________ 3 © American Association of Orthodontists 1999 Transfer – Active 5/00 Reviewed 09/09 .

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