Virtual Orthodontic Appointment

We are excited to offer you a complimentary, virtual hand-crafted smile experience!

How It Works

Please take six photos similar to what you see below. You can use two spoons to assist in retracting your cheeks. Check out our highlights on IG (@phamilyorthodontics) for an instructional video and if you need additional help, please e-mail us at info@phamilyorthodontics.com. For those patients wearing aligners or retainer, please take the "Open Mouth Smile" photo with your aligners/retainer in to allow the doctors to assess their fit.

Front teeth biting down
Right back teeth biting down
Left back teeth biting down
Top teeth
Bottom teeth
Open Mouth Smile

Patient First Name

Patient Last Name

If the patient is under 18, please provide parent/guardian name as well.

Parent/Guardian First Name

Parent/Guardian Last Name

Phone

Let us know if you are a New Patient, Current Patient or Former Patient?

Please share any pertinent information about your treatment needs or your current treatment, including what aligner number you are wearing, if applicable.

Preferred Office

Upload Your Photos

If you were unable to take individuals and took a video instead, please send that video to info@phamilyorthodontics.com and put your name in the subject line and take one selfie and upload it to Photo 1 below. Images must be a .jpg, .jpeg, .png, or .gif and cannot exceed 20MB.

We are excited to offer you a complimentary, virtual hand-crafted smile experience!

How It Works

Front teeth biting down

Right back teeth biting down

Left back teeth biting down

Top teeth

Bottom teeth

Open Mouth Smile