CURRENT PATIENTS, COMPLETE YOUR CHECK-IN ONLINE!

We’re providing our existing patients, already in treatment with us, the option of an online check-in.

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

Current Patient Info

First Name*

Last Name*

Date of Birth*

Email*

Phone

Do you have any additional information that you'd like to send Dr. Jeff at this time?

Type of treatment
BracesInvisalignOther

[group invisalign-patients]

What aligner tray number are you wearing now?*

Number of Days in Current Aligner*

[/group]

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

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.

#1 Lower Teeth
Bottom Teeth

Open your mouth wide and tilt your chin downwards toward your chest. Hold the camera so itâ€™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
Top Teeth

Open your mouth wide and lift your chin as high as you can. Hold the camera so that itâ€™s perpendicular to the biting surfaces of your top teeth. Make sure you can see the full arch and then click.

#3 Front View
Front Teeth

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
Right Teeth

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
Left Teeth

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.

For current retainer or aligner patients

#6 Front View With Invisalign On
Front Teeth

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.

#7 Right View With Invisalign On
Right Teeth

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
Left Teeth

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 1MB Each

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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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