GKG Virtual Consultation

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Do you want to know if orthodontic treatment is right for you?

At GKG Orthodontics, we know life can be busy with work, school, sports, and other activities. That’s why we do our best to make working with us as convenient as possible! We would love to help you and save you time with our Free Virtual Consultation.
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Take a selfie style photo of your face and smile as you look straight into the camera showing your teeth.
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Take Photo
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Take a photo of your SMILE as you look straight into the camera showing your teeth.
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Take Photo
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Take a photo of the left side of your bite.
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Take Photo
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Take a photo of the right side of your bite
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Take A Photo Of The Right Side
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Take A Photo Of The Underside Of Your Top Teeth
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Take A Photo Of The Underside Of Your Top Teeth
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Take A Photo Of Your Bottom Teeth
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Take A Photo Of Your Bottom Teeth
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Name
First Name
Last Name
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Email
example@example.com
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Mobile Number
Area Code
Phone Number
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Zip Code
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Is this treatment for you or your child?* This field is required.
Me
Child
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Patient Age
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Preferred Method of Contact* This field is required.
Text
Text
Phone
Email
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How long have you considered improving your smile?
Within the last year
1-2 years
3-4 years
over 5 years
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What's your main motivation for wanting to change your smile?
Dating
Further my career
Wedding
Dating
Special Event
Improve Confidence
Other
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Do you sometimes hide your smile?
Yes
No
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Do you have bite or jaw problems?
Yes
No
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Would you like a complimentary consultation?
Yes
No
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Is there anything else you would like to tell us about why you are seeking orthodontic treatment?
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I accept the PRIVACY POLICY, terms & conditions and acknowledge that this is only a visual guide assessment, where pictures are clear, and a visit to practice is required for a proper diagnosis.
I accept
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