Am I a Candidate for Orthodontic Treatment?

If you have been wanting straight teeth and a beautiful smile, our board certified, award winning orthodontists would love to help you! Follow these easy steps below and we will get back to you within 48 business hours to let you know if orthodontics is right for you, as well as an estimate of time and cost of treatment! With our flexible interest free payment plans, the smile you have always wanted is just around the corner.

Name (First and Last):

Date of Birth:

Address (City and Province):

Email:

Phone #:

Preferred method of contact:
PhoneEmail

Importation of photo (5mb file size max): ( Click here to see how to take photos for upload )

Frontal Smile Example
Frontal Smile

Frontal Smile: (Drop your photo)

Profile Example
Profile

Profile: (Drop your photo)

Center Biting Example
Center Biting

Center Biting: (Drop your photo)

Right Side Example
Right Side

Right Side: (Drop your photo)

Left Side Example
Left Side

Left Side: (Drop your photo)

Upper Teeth (occlusal) Example
Upper Teeth (occlusal)

Upper Teeth (occlusal): (Drop your photo)

Lower Teeth (occlusal) Example
Lower Teeth (occlusal)

Lower Teeth (occlusal): (Drop your photo)

What about your teeth would you like to fix?

Do you visit a dentist regularly? If yes, what is their name?:

When was your last dental visit?:

Preferred appliance choice:
Traditional bracesClear alignersInside lingual bracesNot sure

Regarding orthodontic treatment, which is the most important to you:
CostSpeedHow visible your appliances are

 

We are happy to provide an opinion of suitability for orthodontic treatment based on the records provided. These records do not replace a clinical exam and diagnostic records taken in office. Prior to initiating treatment, patients will be asked to attend an appointment at Forest Hill Orthodontics.

To schedule an appointment in person, click here