Our Virtual Consultation Saves You Time

Submit Your Virtual Consult Online

Use your mobile phone and take the eight example pictures below. If you do not want to use your fingers to pull your cheeks back, spoons work well.  Once you’ve finished, click the button below to go to our online submission form. Once you get to the website you will be asked for a code. We have provided the code below. Once submitted, Dr. Sample will assess your case and we’ll be in touch as soon as possible.


Photo Examples

Smile & Profile


Overbite & Overjet


Upper Arch & Lower Arch


Right Bite & Left Bite