We are excited to offer you a complimentary, virtual hand-crafted smile experience!

How It Works

Please take six photos similar to what you see below. You can use two spoons to assist in retracting your cheeks. Given the current climate of social distancing, if taking photos on your own is too challenging, a video will be accepted as well. Check out our highlights on IG (@phamilyorthodontics) for an instructional video if you need any help.

Fill out the demographic information below and then click Next.

  • Front teeth biting down

  • Right back teeth biting down

  • Left back teeth biting down

  • Top teeth

  • Bottom teeth

  • Open Mouth Smile

Virtual Orthodontic Appointment Step 1

Please check that all fields are complete and the age verification box is checked before moving on.

Virtual Orthodontic Appointment Step 2

Let us know if you are a New Patient, Current Patient or Former Patient?

Please let us know your main concern about your smile or questions about your current treatment:

Dentist

Preferred Office

Virtual Orthodontic Appointment Step 3

Upload Your Photos

If you were unable to take individuals and took a video instead, please send that video to info@phamilyorthodontics.com and put your name in the subject line and take one selfie and upload it to Photo 1 below.

Images must be a .jpg, .jpeg, .png, or .gif and cannot exceed 20MB.

Photo 1

Front teeth biting down

Photo 2

Right back teeth biting down

Photo 3

Left back teeth biting down

Photo 4

Top teeth

Photo 5

Bottom teeth

Photo 6

Front teeth slightly open

To use the virtual consultation option you must be 18 years old or older.

VERY IMPORTANT! PLEASE READ!

When we send you an email, or you send us an email, the information that is sent is not encrypted. This means a third party may be able to access the information and read it since it is transmitted over the Internet. In addition, once the email is received by you, someone may be able to access your email account and read it.

  • HIPAA stands for the Health Insurance Portability and Accountability Act
  • HIPAA was passed by the U.S. government in 1996 in order to establish privacy and security protections for health information
  • Information stored on our computers is encrypted.
  • Most popular email services (ex. Hotmail®, Gmail®, Yahoo®) do not utilize encrypted email.
  • When we send you an email, or you send us an email, the information that is sent is not encrypted. This means a third party may be able to access the information and read it since it is transmitted over the Internet. In addition, once the email is received by you, someone may be able to access your email account and read it.
  • Email is a very popular and convenient way to communicate for a lot of people, so in their latest modification to the HIPAA act, the federal government provided guidance on email and HIPAA.
  • The guidelines state that if a patient has been made aware of the risks of unencrypted email, and that same patient provides consent to receive health information via email, then a health entity may send that patient personal medical information via unencrypted email.

By sending a request for virtual consultation with email you are accepting the terms and conditions of utilizing non-encrypted email to communicate health information.

Virtual Consultation