Dr. Jason Aleman D.M.D., M.S. ABO997 Clock Tower Drive  |  Springfield, IL 62704

(217) 546-9600

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Information and Forms

Informational Materials


Post this informative flyer in your home for a quick guide to the dos and don’ts when wearing braces.

Tooth Token

Our rewards program for patients who practice good orthodontic hygiene. Redeem tokens for cash.

Family Care Plan

Family members of current or former patients receive a free evaluation and discounted rates for treatment.

Patient Information Forms

Our Patient information forms are digital in our office. Please click on the link and it will take you to a secure website to fill out the information. When the form is complete, click submit and it will come directly back to our office. You don’t have to print anything out or bring anything in.

HIPPA Privacy Notice

Patient Information


Be sure to enter our contest. We can't wait to see your pictures!

Contest to submit picture to win wireless Beats headphones 

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Graphic link to book an appointment
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