Adjustment Form 4-Step Adjustment Process: Contact us for a prepaid return shipping label Fill out and submit this online adjustment form On the outside surface of your night guard, mark the issue areas to avoid confusion with the teeth chart’s orientation We make the adjustments and send the guard back to you Order #:*Name:* First Last Check Issue Details Inward fit tightness on front teeth Loose on front teeth Uneven bite pressure on front teeth Cutting gum line on front teeth Uneven bite pressure on back teeth Fit tightness on back teeth Loose on back teeth Cutting gum line on back teeth Check all that apply:Top Teeth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Bottom Teeth 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Write a detailed description of the issue:** Common Mistake: Many customers think teeth #1 is their last molar on their left side. The right answer is #1 is on your right side and #16 is on your left side. By the same token, #32 is on your right side and #17 on the left. Please print this form and include it in your return. To print use the button below or print the copy you receive in your email.