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.

HIPAA Privacy/Media Consent Form

Patient Information/Health History Form

Beats winner


Congratulations to the Olson Family! They are our "Beat" The Heat With Tuthmvr Contest Winner! 

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