Virtual Orthodontic Consultation

We’re excited to make orthodontic care more convenient with virtual consultations. By submitting a few photos of your smile before your appointment, you’ll give Dr. Susan Korch the chance to review your case and discuss your treatment options, all from the comfort of your home.

How it Works

1. Take Photos – Ask a friend or family member to help you take 5 clear photos of your smile using a smartphone or digital camera.

2. Submit Online – Upload your photos and share any concerns with us using the form below at least 48 hours before your scheduled appointment.

3. Virtual Appointment – Dr. Korch will review your photos and go over their recommendations with you during your online consultation.

How to Photograph Your Smile

When taking photos, please make sure you are seated in a well-lit room. For the best results, it’s advisable to have someone else take the photos for you, as it can be challenging to take them by yourself. \

If you have any questions about this form, feel free to contact our office.

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Show Us Your Smile

Photo 1 - Right Bite

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching. Pull back your right cheek as far as you can. Snap picture looking directly at the right side of your mouth.

Photo 2 - Center Smile

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching and show us your biggest smile ever, showing as much of your teeth as possible. Snap picture looking straight at your smile.

Photo 3 - Left Bite

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching. Pull back your left cheek as far as you can. Snap picture looking directly at the left side of your mouth.

Photo 4 - Upper Arch

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Tilt your head back and take a photo. Try to get your full arch. Face a window for the best lighting or use a flashlight to brighten the palate.

Photo 5 - Lower Arch

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Tilt your chin down and take a photo. Try to get your full arch. Face a window for the best lighting or use a flashlight to brighten the tongue and back teeth.

Patient Information

Patient Name*

First Last

If minor, Parent Name:

First Last

Email*

Phone*

Preferred Method of Contact

Facetime

Android Video Call

Phone

I am a ...*

new patient interested in a smile assessment

current patient checking in for virtual treatment

previous patient doing a retainer check

What is your goal with treatment?

Do you have any concerns about your treatment?

Do you have any concerns about your retainers?

Please wait for a confirmation message to ensure your photos have been uploaded, it may take a minute depending on image size and internet connection.