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Virtual Consult
Virtual Consult
Step 1 of 3 - Your Information
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First, please enter your full name
*
First
Last
What is your date of birth?
*
What is your email address?
*
What is your mobile phone number?
*
ARE YOU A NEW PATIENT OR EXISTING PATIENT?
*
I am a new patient.
I am an existing patient.
Have you had any Orthodontic treatment in the past?
*
Yes
No
Which image(s) below best describes your current orthodontic situation?*
Crossbite (Back Teeth)
Crossbite (Front Teeth)
Crowding
Open Bite
Overbite
Abnormal Eruption
Spacing
Underbite
What are you looking to improve about your smile?
Correct upper teeth only
Correct lower teeth only
Take care of it all
I'm not sure, give me all the options
Other
Please specify below:
What is your preferred treatment method?
Invisalign
Traditional metal braces
Clear braces
Now it is time to show us your current smile. Please
watch this instructional video
on how to take your own virtual consultation photos. Please also use the example photos below as a reference for what your photos should look like. You will feel like a pro, promise! It is recommended to have someone take these photos for you.
FRONT VIEW
*
HEAD CENTRED LOOKING STRAIGHT AHEAD, LIPS RESTING TOGETHER, BUT NO SMILE
Drop files here or
FRONT SMILE
*
HEAD CENTRED LOOKING STRAIGHT AHEAD, THIS TIME, LET'S SEE YOUR BIG TOOTHY SMILE
Drop files here or
SIDE PROFILE
*
HEAD CENTRED LOOKING STRAIGHT AHEAD, TAKING A PROFILE PHOTO OF THE SIDE OF YOUR FACE
Drop files here or
RIGHT SIDE, BITING
*
RIGHT SIDE BITE, TEETH TOGETHER
Drop files here or
CENTRE BITING
*
FRONT BITE, TEETH TOGETHER
Drop files here or
LEFT SIDE BITING
*
LEFT SIDE BITE, TEETH TOGETHER
Drop files here or
LOWER BITING
*
BITING SURFACE OF LOWER TEETH
Drop files here or
UPPER BITING
*
BITING SURFACE OF UPPER TEETH
Drop files here or
INVISALIGN PATIENTS ONLY PHOTO
Please take photo with your aligners in your mouth, of the front teeth with your teeth separated/apart) upper teeth.
Drop files here or
If you are eligible for treatment, how soon would you like to get started?
*
As soon as possible, I can’t wait to fix my smile!
Within a month or two
Not sure, it depends on the cost of treatment
How did you hear about us?
*
Facebook
Instagram
Google
Invisalign website
Word of mouth
Other
*
Before we submit your information please read our
privacy policy
and click this checkbox to accept.
Thank You
Wasn't that fun!? Click below to submit your records to Dr. Morrow.
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ARE YOU READY TO DISCUSS YOUR NEW SMILE? CALL
1.866.486.4876
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