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Active or Retired Military?
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Documentation Needed (attach or enclose a copy of each with application)


Purple Heart Certificate

Proof of being either the parent (birth certificate or signed letter of guardianship) or legal guardian of the child

By printing your name below, you are agreeing that all information submitted by you to the Georgia School of Orthodontics is true and complete. We thank you for your service.

Submit completed application electronically by clicking the send button below or you may select print and mail the application to:
Georgia School of Orthodontics, Purple Heart Smiles, 8200 Roberts Drive, Suite 550, Atlanta, GA 30350

Questions? We can help you! Please call us at 770-351-7737 or if you prefer