Current Patients, Complete Your Check-In Online!
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.
Please submit photos of your teeth as shown in the examples
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.
For Current Clear Aligners Patients
#6 Front View With Clear Aligners On
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.
#7 Right View With Clear Aligners On
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.
#8 Left View With Clear Aligners On
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.
After you hit send, we'll contact you within a few days and potentially set up a time to connect if requested or needed.
VERY IMPORTANT
When we send you an email, or you send us an email, the information sent is not encrypted. That means a third party may be able to access the information and read it since it is transmitted over the Internet. If you receive an email, 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.
- 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.
- For more information visit https://www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.pdf.
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.