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Book Your Virtual Consultation Today!

Interested in learning more about orthodontic treatment for you or your child? Simply fill out the form below and snap a few photos. Once Dr. Patel reviews your information, we’ll reach out via phone or email to discuss your personalized treatment recommendations. Let’s get started!

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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

    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.

    #2 Upper Teeth
    top 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.

    #3 Front View, smiling
    Front Teeth

    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.

    #4 Right View
    Right teeth

    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.

    #5 Left View
    left teeth

    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 1MB Each





    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

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