Virtual Braces Visit

Virtual Braces Visit

This is only for current braces patients of Elizabeth Blake Orthodontics. Help Dr. Blake and Dr. Peluso keep an eye on your smile by checking in from your phone or computer.
How It Works
Step 1 - Retainer In

Take 5 pictures of your smile from the angles below.
Need help taking photos? Try to make sure that the room is well lit for the best quality photos.

A good way to help retract your cheeks away from your teeth during the photos is for you to hold your cheeks with 2 spoons, while your friend or family member takes the photos for you.
Step 2

Fill out the form below.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
If you are wearing rubber bands, how many hours/day are you wearing them?
Upload up to 5 photos with your retainer

Cancelof
YesNo
How many times a day are you brushing?
Upload Up to 5 Pictures

Cancelof
Any questions regarding your appliances?
Should be Empty:

How It Works