Virtual Visit Request
Please Take picture with teeth fully together, elastics in when wearing them and most recent aligner in before changing when in clear aligner treatment. Instructions to follow.
Office In Treatment
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Olean
Hamburg
Orchard Park
Lancaster
Dunkirk
Full Name
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Phone Number
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-
Area Code
Phone Number
E-mail
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Message
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Instructions for Photo Taking
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Center Teeth Selfie
Take an image that looks like this!
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Right Teeth Selfie
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Left Teeth Selfie
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Upload any File or Video
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