During this time of social distancing, we’re providing our existing patients or former 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.
First Name*
Last Name*
Email*
Phone*
Preferred Method of Communication PhoneEmail
Do you have any additional information that you'd like to send Dr. Melanie at this time?
For existing clear aligners patients, please include a set of photos with your aligners in and without. For existing braces patients, if you have rubber bands in place, please take photos while wearing the bands.
#1 Lower Teeth
Open your mouth wide and tilt your chin downwards toward your chest. Hold the camera so it’s perpendicular to the biting surfaces of your bottom teeth. Make sure your full arch is showing and then snap a picture.
#2 Upper Teeth
Open your mouth wide and lift your chin as high as you can. Hold the camera so that it’s perpendicular to the biting surfaces of your top teeth. Make sure you can see the full arch and then click.
#3 Front View
Bite down so your back teeth touch. Directly facing the camera, smile wide and click, trying to get as many teeth as you can in the picture. If you need to, you can pull your lips and cheeks away from your teeth with spoons to show more teeth.
#4 Right View
Bite down so that your back teeth touch, smile and retract the cheek and lips with a spoon pulling on the right side of your mouth to expose more of your teeth. Take a picture of the right side.
#5 Left View
Bite down so that your back teeth touch, smile and retract the cheek and lips with a spoon pulling on the left side of your mouth to expose more of your teeth. Take a picture of the left side.
#6 Front View With Clear Aligners On
#7 Right View With Clear Aligners On
#8 Left View With Clear Aligners On
*maximum upload file size 1MB Each
After you hit send, we'll contact you within a few days and potentially set up a time to connect if requested or needed.
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