Name: Love Orthodontics
Telephone: +1-
Price range: $$

Dr. G and our team are proud of our 2024 graduating class! To celebrate the high school seniors in our area, we invite our patients to submit the form below to be featured on our Facebook and Instagram pages. Make sure you follow us to see your post! @loveorthoMO

Patient (2024 Senior) Name(Required)

First Last

Parent Name(Required)

First Last

High School(Required)

Honors (if applicable)

College Plans (if applicable)

Scholarships (if applicable)

Community Involvement (if applicable)

If you return to the Springfield area after college/graduation, how do you want to impact your community?

Attach up to 4 photos(Required)

Drop files here or

Accepted file types: pdf, jpg, png, jpeg, webp, tiff, Max. file size: 16 MB, Max. files: 4.

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