Virtual Consult

1

Name* This field is required.

First Name

Last Name

2

Is this Consult for yourself or your child?* This field is required.

Self

Child

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Area Code

Phone Number

5

What would you like to change about your teeth/smile?* This field is required.Chief Complaint

6

What kind of orthodontic treatment are you interested in?* This field is required.

Damon Braces

Clear Aligners (Invisalign or Spark)

Damon Clear Braces (Ceramic)

Other

7

Get ready for some selfies!

Make sure those teeth are clean and hair is brushed.

8

It's about to get a little weird.

9

A spoon can work great to pull your cheek back.Dr. Jared Christensen is ready!

10

First, we need a picture like this one below.A picture of the front of your teeth with your bite closed together.

11

Take Photo

12

Ok, now we need a picture like this one below.A picture of the right side of your teeth with your bite closed together.

13

Take Photo

14

Ok, now we need another picture from the left side like this one below.A picture of the left side of your teeth with your bite closed together.

15

Take Photo

16

Perfect, now we need a picture of your top teeth like this one below.A picture of the upper teeth, as many as possible.

17

Take Photo

18

Great, now we need a picture of your bottom teeth like this one below.A picture of the lower teeth, as many as possible.

19

Take Photo

20

Ok, now we would love to see a picture of you smiling!A picture of your natural smile.

21

Take Photo

22

Sweet! Now, take a picture with your mouth closed.A picture of you with your mouth closed at rest.

23

Take Photo

24

Ok, last one! Please take a picture of yourself looking to the side with your mouth closed.A side picture of your face with your mouth closed at rest.

25

Take Photo

26