Please download the form below and complete all fields. Email the completed form to info@vanlaeckenorthodontics.com or mail the completed form to the corresponding office location to register as a patient.
Aberdeen Office | 631 S. Roosevelt St., Aberdeen, SD 57401 | Phone: 605-226-3120
Watertown Office | 600 4th St. N.E., Suite 103, Watertown, SD 57201 | Phone: 605-882-1500
Milbank Office | 102 W. 4th Ave., Suite 2, Milbank, SD 57252 | Phone: 605-432-5011
Brookings Office | 604 Medary Ave. S., Brookings, SD 57006 | Phone: 605-692-7063
Please download the document below, and complete to be entered into a Smile Rewards Program prize drawing. Email the completed form to info@vanlaeckenorthodontics.com or mail the completed form to the corresponding office location.
Download the document below, and complete to consent to receive orthodontic treatment during the COVID-19 era. Email the completed form to info@vanlaeckenorthodontics.com or mail the completed form to the corresponding office location.
You may also complete the digital form here.
Download the document below, and complete to acknowledge the HIPAA Privacy Act and VanLaecken Orthodontics' Privacy Notice. Email the completed form to info@vanlaeckenorthodontics.com or mail the completed form to the corresponding office location.
You may also complete the digital form below to acknowledge our Privacy Notice.
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Aberdeen Office | 631 S. Roosevelt St., Aberdeen, SD 57401 | Phone: 605-226-3120
Brookings Office | 604 Medary Ave. S., Brookings, SD 57006 | Phone: 605-692-7063
Milbank Office | 102 W. 4th Ave., Suite 2, Milbank, SD 57252 | Phone: 605-432-5011
Sioux Falls Office | 4320 S. Minnesota Ave, Suite 102, Sioux Falls 57105 | Phone: 605-789-7000
Watertown Office | 600 4th St. N.E., Suite 103, Watertown, SD 57201 | Phone: 605-882-1500
VanLaecken Orthodontics is an orthodontist based in Eastern South Dakota. We provide the highest quality of orthodontic and temporal mandibular joint treatments including Invisalign. We are the most experienced Invisalign provider in South Dakota.
