Current Patients, Complete Your Virtual Visit!

During this time of social distancing, we’re providing our existing patients, already in treatment with us, the option of a virtual visit.

Please fill in the fields below and attach a few photos for us to review.

Current Patient Info

For parents filling in the form on behalf of their children, please include your child's information.

First Name*

Last Name*

Preferred Method of Communication

Phone*

Email*

Do you have any additional information that you'd like to send to the doctors at this time?

Please submit photos of your teeth as shown in the examples.

For existing INVISALIGN 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.
Patients with APPLIANCES, please submit the same set of photos

#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 your fingers to show more teeth.

#4 Right View*

Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger 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 your finger on the left side of your mouth to expose more of your teeth. Take a picture of the left side.

Additional Photos Required For Invisalign Patients And Patients With Retainers.

#6 Front View With Invisalign On

#7 Right View With Invisalign On

Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the right side of your mouth to expose more of your teeth. Take a picture of the right side.

#8 Left View With Invisalign On

Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the left side of your mouth to expose more of your teeth. Take a picture of the left side.

*maximum upload file size 3MB 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.

Current Patients, Complete Your Virtual Visit!

Current Patient Info

Please submit photos of your teeth as shown in the examples.

Additional Photos Required For Invisalign Patients And Patients With Retainers.

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Naperville Office

Shorewood office

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