Case Donation Nomination Form

"*" indicates required fields

We’d like to offer an individual the opportunity to receive our comprehensive orthodontic treatment at no cost to them. If someone you know would greatly benefit from this offer, but does not have access to the means or opportunity to pursue it, please provide us with the following pieces of information:

NOMINATOR:

Nominator*

First Last

Email*

Phone Number*

NOMINEE:

Nominee

First Last

Phone number

Please provide a brief description of why you are nominating this person to receive comprehensive orthodontic treatment at no cost to them:

Your Smile Journey Starts Here

At Greg Brown Orthodontics, located in Kennewick, our team is dedicated to providing the highest quality orthodontic care and helping you achieve your best smile. Schedule your complimentary consultation today with your Tri-Cities Best Orthodontist, voted two years in a row!

At Greg Brown Orthodontics, we are committed to providing the highest quality orthodontic treatment in a relaxed atmosphere that fosters mutual respect and appreciation, helping you smile confidently with our expert care.