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Patient Info


Upload Photos

If you can submit your photos, that will help us determine your treatment plan before your visit!

#1 Lower Teeth*
lower-teeth
#2 Upper Teeth*
top teeth
#3 Front View, smiling*
Front Teeth
#4 Right View*
Right teeth
#5 Left View*
left teeth

*maximum upload file size 4MB Each





BracesInvisalign


YesNo



mild, or no crowdingmoderateextreme


mild, or no extra spacemoderateextreme