Virtual Check-Up Appointment - Island Orthodontics

Welcome to the Virtual Check-Up Appointment:

We value your time and to save some...we offer this virtual appointment for existing patients.

This allows us to check your progress without you having to come in for an appointment.

All we need are some pictures and some basic info.

Lets get started!

Disclaimer:

This virtual appointment should only be used for non-emergencies.
We value your privacy and will not share your info with others.
Your virtual appointment is provided as a service to help you save time during your orthodontic treatment.
Even with this virtual appointment, some in person appointments will still be needed.
Note that your request will be sent to Island Ortho via email.
Island Ortho is not responsible for any data charges that may occur using the virtual evaluation.

Needed Info:

First Name *

Last Name *

Email Address *

Your City *

Tray #, Appliance Type or Retainer? *

How to Photograph your Smile:

**Please keep your aligners and elastics in while taking photos.

Items you will need:

2 spoons to hold your cheeks out of the way
Someone to help take your photos (recommended)*

*Tip: If no one is available to help, set your phone photo timer (for photos you can't take with only one hand).

Recommendations for best photo results:

Photos should be taken in a seated position
Use flash on camera to help light teeth and mouth

Selfie Photo

Selfie Photo:

Please take a selfie photo showing your entire face.
Be sure to smile for your selfie photo.😁

Upload Photo #1 - Selfie Photo *

No file chosen

Front Photos:

#2 - Front Biting:

Bite down on your back teeth.
Pull both cheeks back as far and wide as you can to show as much your teeth and gums as possible.
Snap photo directly in front of your mouth.

#3 - Front Open:

Pull both cheeks back as far and wide as you can to show as much your teeth and gums as possible.
Open your mouth just a little to add space between upper and lower teeth.
Snap photo directly in front of your mouth.

Upload Photo #2 - Front Biting *

No file chosen

Upload Photo #3 - Front Open *

No file chosen

Right & Left Photos:

#4 - Right Bite:

Bite down on your back teeth.
Use the spoon to pull back your right cheek as far as you can.
Snap photo directly at the right side of your mouth.

#5 - Left Bite:

Bite down on your back teeth.
Use the spoon to pull back your left cheek as far as you can..
Snap photo directly at the left side of your mouth.

Upload Photo #4 - Right Bite *

No file chosen

Upload Photo #5 - Left Bite *

No file chosen

Upper & Lower Photos:

#6 - Upper Teeth:

Tip your head back.
Snap photo of your upper teeth.
Use spoons (if needed) to hold your cheeks out of the way.

#7 - Lower Teeth:

Tip your head down.
Snap photo of your lower teeth.
Use spoons (if needed) to hold your cheeks out of the way.

Upload Photo #6 - Upper Teeth *

No file chosen

Upload Photo #7 - Lower Teeth *

No file chosen

Comments / Concerns:

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Ready To Send?

When you are ready, please click the 'send virtual appointment' button to send us your virtual appointment.

After we review the virtual appointment you send, we will contact you only if any additional info is needed!

Note - You should receive an email confirmation once you complete this virtual appointment. If you do not get an email confirmation, please contact the office to ensure your info was received.

If you have any questions or additional comments, please feel free to contact us using this Contact Us Form.

You can also give us a call at one of our locations:

(251) 344-7604 (Mobile Locations)

(251) 968-1310 (Baldwin Locations)

**Important Note: For best results, please connect to a wifi network or a strong cell signal before sending your virtual appointment.

Yes, I agree to sending my photos and entered information to Island Ortho via email. I also agree to communications via email, phone/text. For more info, please see our privacy policy.