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Book Your Virtual Consultation

Skip a trip to the office and connect with us from wherever you are. Simply fill out the form below and snap a few photos. Once Dr. Kothari reviews your information, we’ll reach out via phone or email to discuss your personalized treatment recommendations.

  LET’S GET STARTED!

virtual-orthodontic-consultation

    Patient Info


    Upload Photos

    If you can submit your photos, that will help us determine your treatment plan before your visit! When taking pictures, please use flash.

    #1 Lower Teeth*
    lower-teeth

    Open your mouth wide and tilt your chin down towards your chest. Hold the camera so it’s facing the biting surfaces of your lower 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 facing the biting surfaces of your upper teeth. Make sure you can see the full arch and then click.

    #3 Front View*
    Front Teeth

    Bite down so your back teeth touch completely. Facing the camera directly, use two fingers or spoons to pull your lips and cheeks away from your teeth. Smile wide, so you can fit as many teeth as possible in the picture and then click.

    #4 Right View*
    Right teeth

    Bite down completely so that your back teeth touch. Smile and pull back the cheek with two fingers or a spoon on the right side of your mouth. Snap a picture.

    #5 Left View*
    left teeth

    Bite down completely so that your back teeth touch. Smile and pull back the cheek with two fingers or a spoon on the left side of your mouth. Snap a picture.

    *maximum upload file size 1MB Each





    Limited Treatment (Braces or Clear Aligners, minor corrections only)Comprehensive Treatment (Braces or Clear Aligners, complete alignment of all teeth and bite correction)


    YesNo



    mild, or no crowdingmoderateextreme


    mild, or no extra spacemoderateextreme

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