Virtual ConsultationDon’t have time to come to our office for a consultation? Stay right where you are! Simply answer a few questions and upload your photos, and you’ll get a response from us on your treatment plan and costs. It’s that easy! Name of Patient* First Last Patient's Date of Birth*MM/DD/YYYYIs this virtual consultation for yourself or someone else?*MyselfChildDependentWhy are you thinking about straightening your teeth?*Always wanted toTeeth are shiftingDentist/doctor recommendationSpecial eventJust curious about the costWhich words would you use to describe your smile? Choose any that apply.*CrowdedSpacedProtrudingBiteTell us more about why you are interested in orthodontic care?Email* ProfileTurn to the side, and relax your mouth and jaw.*Left BiteBite naturally capturing your molars.*Right BiteBite down and capture your molars.*Upper ArchTilt your head back and take a picture of your upper arch.*Lower ArchTilt your chin down and take a picture of your lower arch.*NameThis field is for validation purposes and should be left unchanged.