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      • Bowling Green
      • Portland
      • Russellville
      • White House
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  • New Patients
    • Your First Visit
    • Patient Forms
    • Insurance & Finances
    • Free Consultation
  • About Us
    • Why Choose Us
    • Meet Dr. Wiesemann
    • Careers
    • Blog
  • Our Treatments
    • Invisalign
    • Metal Braces
    • Clear Braces
    • Retainers
    • Orthodontics for All Ages
    • Orthodontic Info
  • Contact Us
    • Free Consultation
    • Virtual Consultation
    • Visit Our Offices
      • Bowling Green
      • Portland
      • Russellville
      • White House
    • Patients: Virtual Visit
    • Make a Payment
    • Refer a Friend
Free Consult

Make A Payment

Offices

Bowling Green

Russellville

Portland

White House

270-783-3542 Free Consult

Patient Forms

Patient Forms & Information

Save time at your first appointment with Wiesemann Orthodontics Please complete the following forms and read over the information in the links below.

New Patient Form
Insurance Information
Make A Payment

Start Loving Your Smile Today

Take the first step toward a beautiful, healthy smile. Your smile is worth it.

Bowling Green 1212 Ashley Circle
Bowling Green, KY 42104
270-783-3542

Russellville 148 S. Summer St.
Russellville, KY 42276
270-799-7305

Portland 307 Reed St.
Portland, TN 37148
615-924-6854

White House 323 West Dr.
White House, TN 37188
615-924-6854

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