We understand that life is busy! While an in-person exam will be necessary prior to beginning your orthodontic treatment, we are happy to provide the option of a virtual smile assessment that can be completed from the comfort of your home or wherever you are!

Dr. Bates will review the images you submit and determine if you are a good candidate for orthodontic treatment, your treatment choices, and what that treatment would entail. Our treatment coordinator will then reach out with that information, as well as an estimated treatment cost.

How It Works

Step 1:

Take the following 8 pictures. Make sure to replicate the same photo angles. Spoons or the handle end of another kitchen utensil can be useful to help hold out your cheeks/lips.

Step 2:

Fill out the form below and upload your photos.

Drop files here or
Max. file size: 256 MB.
    This field is for validation purposes and should be left unchanged.

    Step 3:

    You’re all set! Dr. Bates will review your photos and a member of our team will get back to you with information related to your potential orthodontic treatment soon!


    IMPORTANT NOTICE:

    When we send you an email, or you send us an email, the information contained within that email is not encrypted. A third party may be able to access the information and read it due to its transmission over the internet. 

    • HIPAA stands for the Health Insurance Portability and Accountability Act
    • HIPAA was passed by the US Government in 1996 in order to establish privacy and security protections for health information
    • Information stored on our computers at Bates Family Orthodontics is encrypted
    • Most popular email services (i.e. Gmail, Yahoo, etc.) do not utilize encrypted email
    • In the latest modification to the HIPAA act, the federal government provided guidance on the use of email and HIPAA
    • The guidelines state that if a patient has been made aware of the risks of unencrypted email, and that same patient provides consent to receive health information via email, then a health entity may send that patient personal medical information via unencrypted email.
    • For more information visit the Department of Health and Human Services

    By submitting this Virtual Smile Assessment form (utilizes email to reach us) you are accepting the terms and conditions of utilizing unencrypted email to communicate your health information.