Current Patients, Complete Your Virtual Appointment Request

Please fill in the fields below and attach a few photos for us to review and contact you. After you hit send, we’ll contact you within a few days and potentially set up a time to connect if requested or needed.

    Patient Info



    Submit Your Photos

    For existing Invisalign patients, please include a set of photos with your aligners in and without.
    For existing braces patients, if you have rubber bands in place, please take photos while wearing the bands.

    #1 Lower Teeth*

    #2 Upper Teeth*

    #3 Front View, smiling*

    #4 Right View*

    #5 Left View*

    For Current Invisalign Patients

    #6 Front View, smiling With Invisalign On

    #7 Right View With Invisalign On

    #8 Left View With Invisalign On

    *maximum upload file size 3MB Each

    After you hit send, we'll contact you within a few days and potentially set up a time to connect if requested or needed.