This assessment will take approximately 3-5 minutes to complete and involves answering some questions and snapping some photos of your smile.

Step 1 - Complete the below form

Your First Name *

Your Last Name *

Phone *

Email *

Appointment is for: *

Myself

My Child

Someone else

Patient First Name *

Patient Last Name *

Patient Date Of Birth

What are the patient's main concern with their smile? *

Is there a preference for treatment type? *

Braces

Clear Aligners

Don't Mind

Step 2 - Snap some photos your teeth

Tips to get great photos:

Centre

Centre View

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Right Side

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Left Side

JPEG, JPG or PNG

Upper

JPEG, JPG or PNG

Lower

JPEG, JPG or PNG