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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! Photos are optional but recommended 🙂

    #1 Lower Teeth*
    #2 Upper Teeth*
    #3 Front View, smiling*
    #4 Right View*
    #5 Left View*

    *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