Replacement retainer agreement ccbraces Patient Name* First Last Treatment & Tooth Number(s):* NA* I have been advised that the replacement retainer is made from my resin model and is made to fit the model. I understand CC Braces cannot guarantee they will fit the teeth, as there could have been some tooth movement. Consent*I have been advised that the replacement retainer is made from my resin model and is made to fit the model. I understand CC Braces cannot guarantee they will fit the teeth, as there could have been some tooth movement. I agree to the above mentioned consent.Signature of Patient or Legal Guardian*Today's Date: 10/21/2025HiddenId Form id. Input filed as a parameterHiddenUsername HiddenOffice Name HiddenEmail HiddenAdditional Email HiddenTitle HiddenShow Tooth Selection? HiddenNotes Title HiddenConsent Label HiddenCheckbox Label HiddenConsent Text I have been advised that the replacement retainer is made from my resin model and is made to fit the model. I understand CC Braces cannot guarantee they will fit the teeth, as there could have been some tooth movement.