No Referral Required!

Don’t have time to come to our office for a consultation? Stay right where you are!

Your Free Smile Consult process :
1) Submit your photos and all relevant info ( either through our website or Facebook Messenger
2) Select your appointment day/time(Click Here to Schedule)
3) We will email you an intake form to gather relevant info and video conference link
4) Log in for your appointment on your selected day/time and spend time with Dr.Bhatia and her treatment coordinator to get all your questions and concerns answered.

Here’s to your First Step towards building the Smile of your dreams…!!!

Simply answer a few questions and upload your photos, and you’ll get a response from us on your treatment plan and costs. It’s that easy!

Name of Patient*
First Last
Patient's Date of Birth*
MM/DD/YYYY
Is this virtual consultation for yourself or someone else?*
Why are you thinking about straightening your teeth?*
Which words would you use to describe your smile? Choose any that apply.*
Tell us more about why you are interested in orthodontic care?
Email*
Front
Frontal view: natural smile*
Max. file size: 2 MB.
Profile
Turn to the side, and relax your mouth and jaw.*
Max. file size: 2 MB.
Left Bite
Bite naturally capturing your molars.*
Max. file size: 2 MB.
Right Bite
Bite down and capture your molars.*
Max. file size: 2 MB.
Upper Arch
Tilt your head back and take a picture of your upper arch.*
Max. file size: 2 MB.
Lower Arch
Tilt your chin down and take a picture of your lower arch.*
Max. file size: 2 MB.
Comments
This field is for validation purposes and should be left unchanged.

Virtual Consultation…

No Referral Required!

Front

Profile

Left Bite

Right Bite

Upper Arch

Lower Arch

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