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YesNo


YesNo



Upload Photos

If you can submit your photos, that will help us determine your treatment plan before your visit! Photos are optional but recommended 🙂

#1 Lower Teeth

#2 Upper Teeth

#3 Front View, smiling

*maximum upload file size 5MB Each


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



YesNo



mild, or no crowdingmoderateextreme


mild, or no extra spacemoderateextreme