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: 04/26/2024IdForm id. Input filed as a parameterUsernameOffice NameEmail Additional Email TitleShow Tooth Selection?Notes TitleConsent LabelCheckbox LabelConsent 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.