Online Check-In

Orthodontic emergency? Want to make sure your treatment is on track? During this time of physical distancing, weโ€™re providing our existing patients, already in treatment with us, the option of a digital check-in. Please fill in the fields below and attach a few photos for us to review.

    Patient Info




    Braces


    YesNo


    YesNo


    YesNo

    Invisalign


    YesNo


    Great! Keep up the good work ๐Ÿ™‚


    YesNo

    Please understand that regular use of chewies helps ensure your desired results

    Great! Keep up the good work ๐Ÿ™‚




    Carriere


    YesNo


    Great! Keep up the good work ๐Ÿ™‚

    Is there any mobility on the upper teeth where the metal bar is attached?
    YesNo

    Retainers


    YesNo


    Great! Keep up the good work ๐Ÿ™‚

    Twin Block


    YesNo


    Great! Keep up the good work ๐Ÿ™‚

    Other

    Please submit photos of your teeth as shown in the examples. When taking pictures, please use flash!


    For existing INVISALIGN patients, please include photos with your aligners in.
    For existing BRACES patients, if you have rubber bands in place, please take photos while wearing the bands.

    *maximum upload file size 4MB Each