Form Inputs


Inputs will span their entire parent by default.

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An array of tastefully styled options to make forms more inviting.

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Disclaimer : Florida law requires the patient and any other person responsible for payment has the right to refuse to pay, cancel appointment or can be reimbursed for payment for any other services, examination or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free, discounted or reduced fee service, examination or treatment. * Promotions may not apply with some insurances. Valid for Orthodontic full treatment codes D8080 and D8090. *Invisalign Offer does not include lap bill (reg price $2000)