Virtual Consultation

Steps to take for a 
Free Virtual Consultation

For us to give you the best consultation possible we are asking that our patients provide us 3 pictures prior to our consultation. We will be requiring a front smile, a side profile, and a wide-open smile picture as seen below. Please provide these images in the form below when signing up.

Image 1: Front Facing Smile

Image 2: Side Profile

Consultation,

Image 3: Wide Smile Showing Both Rows Of Teeth

Virtual Consultation Form

Name(Required)
Email(Required)
Best time for Dr. to call you
:
MM slash DD slash YYYY

Virtual Image Upload Section

Please provide us with the FIRST dental image that we requested above on this page.
Max. file size: 512 MB.
Please provide us with the SECOND dental image that we requested above on this page.
Max. file size: 512 MB.
Please provide us with the THIRD dental image that we requested above on this page.
Max. file size: 512 MB.
Please let us know what's on your mind. Have a question for us? Ask away.

Welcome to Imagination Orthodontics our rebrand of Braces at Brick, where our passion is to create confident smiles that last a lifetime.

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