Virtual Consultation

One of our qualified orthodontists will examine the photos to provide a rough treatment time estimate and which appliances would be acceptable for treatment (braces, clear aligners, expanders, etc). Please note that an in-person consultation is required for full diagnostic photos, radiographs and the final treatment plan presentation. Please include 8 photos using the examples from below. We recommend using small spoons to retract your lips when taking photos.

Virtual Consultation

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First Name*

Last Name*

Your Email*

Number*

Photos*

Drop files here or Select files

Accepted file types: jpg, png, Max. file size: 29 MB.

Please upload 8 photos.

Comments*

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The information transmitted through email is not encrypted, which means it can potentially be accessed and read by unauthorized third parties while being transmitted over the Internet. If you receive an email, there is a possibility that someone could gain access to your email account and read its contents.
HIPAA, an abbreviation for the Health Insurance Portability and Accountability Act, was enacted by the U.S. government in 1996 to establish safeguards for the privacy and security of health information.
The data stored on our computers is encrypted to ensure its security.
Most widely used email services such as Hotmail, Gmail, and Yahoo do not employ encryption for email communications.
Email is a popular and convenient method of communication for many individuals. Recognizing this, the federal government has provided guidance on email and HIPAA in their latest amendment to the HIPAA act.
According to the guidelines, if a patient has been informed about the risks associated with unencrypted email and provides consent to receive health information through email, a healthcare entity may send that patient personal medical information via unencrypted email.
For additional information, please visit https://www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.pdf.
By requesting a virtual consultation through email, you are acknowledging and accepting the terms and conditions regarding the utilization of non-encrypted email for communicating health information.