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Schedule a Virtual Consultation

Interested in perfecting your smile? Connect with Dr. Chan from anywhere!
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How a Virtual Consultation Works

Step 1:

Fill out the form below and attach the photos of your teeth and bite. When you’re finished, hit “Send.”

Step 2:

Once we receive your information, our new patient coordinator and Dr. Chan will sit down together to go over your submission. This will allow Dr. Chan to develop an individualized treatment plan.

Step 3:

Our new patient coordinator will set up a virtual Zoom call with you. During this call, you’ll discuss your treatment plan, the treatment costs, your insurance coverage, and our flexible financing options.

Step 4:

If you decide to move forward, we’ll schedule you for an in-person appointment. At this visit, you’ll meet Dr. Chan and start your treatment right away!

    Patient Info


    Upload Photos

    If you can submit your photos, that will help us determine your treatment plan before your visit! Photos are optional but recommended 🙂

    #1 Lower Teeth*

    Open your mouth wide and tilt your chin downwards toward your chest. Hold the camera so it’s perpendicular to the biting surfaces of your bottom teeth. Make sure your full arch is showing and then snap a picture.

    *maximum upload file size 5MB

    #2 Upper Teeth*

    Open your mouth wide and lift your chin as high as you can. Hold the camera so that it’s perpendicular to the biting surfaces of your top teeth. Make sure you can see the full arch and then click.

    *maximum upload file size 5MB

    #3 Front View, smiling*

    Bite down so your back teeth touch. Directly facing the camera, smile wide and click, trying to get as many teeth as you can in the picture. If you need to, you can pull your lips and cheeks away from your teeth with your fingers to show more teeth.

    *maximum upload file size 5MB

    #4 Right View*

    Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the right side of your mouth to expose more of your teeth. Take a picture of the right side.

    *maximum upload file size 5MB

    #5 Left View*

    Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the left side of your mouth to expose more of your teeth. Take a picture of the left side.

    *maximum upload file size 5MB

    *For iPhone IOS users, please select smaller photo sizes when uploading your photos if your images are bigger than 5mb. For Andriod devices, please resize image in your gallery by clicking the "edit" button and selecting "resize" in the options menu.




    InvisalignBraces


    Limited Treatment (Braces or Invisalign, minor corrections only)Comprehensive Treatment (Braces or Invisalign, complete alignment of all teeth and bite correction)

    YesNo


    mild, or no crowdingmoderateextreme


    mild, or no extra spacemoderateextreme