What Location Would You Like to Visit?
Preferred Method of Communication
Preferred Time to be Contacted
If you can submit your photos, that will help us determine your treatment plan before your visit! Photos are optional but recommended 🙂
*maximum upload file size 4MB Each
What treatment would you like?
Limited Treatment (Braces or Invisalign, minor corrections only)Comprehensive Treatment (Braces or Invisalign, complete alignment of all teeth and bite correction)
Have you worn braces or invisible aligners in the past?
Choose the option that best describes your biggest concern with your smile:
Fix a spacing issueFix a crowding issueFix a bite problem (overbite, underbite or crossbite)Generally straighter teeth
Of the images below, which one best describes your teeth crowding?
mild, or no crowdingmoderateextreme
Of the images below, which one best describes your teeth spacing?
mild, or no extra spacemoderateextreme
19971 64th Ave,
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