Retainer Check

Retainer Check

For Retention Patients of Elizabeth Blake Orthodontics
Do you have questions or concerns about your retainer? Let us know! Fill out the form below and upload any pictures related to your problem.

A member of our friendly Elizabeth Blake Orthodontics team will contact you to answer your questions or schedule an appointment if needed.
How It Works
Step 1 - Retainer In

Take 5 pictures of your smile from the angles below, while wearing your retainer.
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 - Retainer Out

Take 5 pictures of your smile from the angles below without your retainer.
Step 3

Fill out the form below.
Name

First NameLast Name
Email
example@example.com
Birthdate

MonthDayYear
Date
Upload up to 5 photos with your retainer

Cancelof
Upload up to 5 photos without your retainer

Cancelof
How many hours per day are you wearing your retainer?
Should be Empty:

How It Works