NEW PATIENT ASSESSMENT
Welcome to ART Orthodontics NEW PATIENT submission form. We are piloting this project to help prospective patients get information about their potential orthodontic treatment quickly and efficiently. We will do our best to have the information as helpful as possible. By giving us a quick dental history and emailing your photos after we contact you, we are able to give you an idea of treatment options; including an estimate of treatment times and costs. This is a very general estimate and we would follow-up with a consultation to explain the options and costs. A final treatment plan would be done in-office and that is when the final cost and payment options are determined. The form below is HIPAA-compliant. If the images are not diagnostic, we will follow-up and explain our options to you.
PHOTOGRAPH INSTRUCTIONS
This is an example of a composite of photos that would help to asses your treatment options. The pictures of the side and front bites have the cheeks retracted and a spoon can be used.
After we receive your information we will email and you can reply with your photos. For many bite corrections, an assessment of the position of the jaws is necessary and we would take x-rays to fully assess this.
For the purpose of estimating your treatment options – it is helpful (but not necessary) to upload images of your facial profile and smile.
