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(814) 623-8484

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(814) 643-1044

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(814) 944-3521

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Home
About Us
New Patients
Wearing Braces
Blog
Services
Contact

Bedford
(814) 623-8484

Huntingdon
(814) 643-1044

Altoona
(814) 944-3521

Facebook Google Yelp

Home
About Us
New Patients
Wearing Braces
Blog
Services
Contact

Menu

Home
About Us
New Patients
Wearing Braces
Blog
Services
Contact

Virtual Consultation

Patient Forms

Please take a minute to fill out the patient information form before your first appointment:

Huntingdon

929 Washington St
Huntingdon, PA 16652

Altoona

2702 Plank Rd
Altoona, PA 16601

Bedford

9510 Lincoln Hwy #3
Bedford, PA 15522

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Virtual Consultation

Get Started

Upload a few images of your teeth and we'll propose a preliminary treatment plan ASAP. No appointment necessary.

Name

Email

Phone

Comments

I am a current patient

I am a current patient

Say Cheese!

Before we can recommend a treatment plan, we need to get to know you and your teeth! If you are an existing patient, you can skip these first three shots. Let’s warm up with a head-on selfie. Bite down on your back teeth and smile as wide as you can! Do your best to match the photo.

Max file size 10mb per image. Accepted file types: jpg, jpeg, png, heif, tiff, gif

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A little more serious

That wasn't so hard! Still head-on, let's take the same shot but without the smile. Do your best to match the photo.

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A little more serious

Keep it up! Let's try one from the side. Turn to your left and take another shot without smiling. Do your best to match the photo.

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Say Cheese!

Let's take a closer look at your teeth. Bite down on your back teeth and smile as wide as you can! Do your best to match the photo.

Image Upload

Left Side

Great shot! Next up, we need to see your smile from the left side. Still biting down on your back teeth, pull your cheek back either with your fingers or using a spoon. Do your best to match the photo.

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Right Side

These are coming out great! Let's try the same shot, this time from the right. Make sure you're biting down on your back teeth! Do your best to match the photo.

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Upper Teeth

Next up, we need to see your upper teeth from below. Open wide! You may want to enlist the help of a friend for this one. Do your best to match the photo.

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Bottom Teeth

Almost done: just one shot left! This time, we need to see your lower teeth. Once you've taken all of your photos, click Request Consult to send your shots to our doctor!

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