Call or Text: 949.767.3925

30492 Gateway Pl #220

Rancho Mission Viejo, CA 92694

Call or Text: 949.767.3925

30492 Gateway Pl #220 Rancho Mission Viejo, CA 92694

Virtual Appointment

Virtual Appointment

Upload a few photos and have a virtual appointment with Dr. Ashley today!

How Virtual Appointments Work

1. Ask someone to help you replicate the photos below using a digital camera or smartphone.

2. Submit all 5 of your photos using the form below and tell us about any concerns you have.

3. Dr. Ashley will review your photos with you during your virtual appointment.

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Company

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Show Us Your Smile

Photo 1 - Right Bite

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching. Pull back your right cheek as far as you can. Snap picture looking directly at the right side of your mouth.

Photo 2 - Center Smile

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching and show us your biggest smile ever, showing as much of your teeth as possible. Snap picture looking straight at your smile.

Photo 3 - Left Bite

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Bite down on your regular bite with back teeth touching. Pull back your left cheek as far as you can. Snap picture looking directly at the left side of your mouth.

Photo 4 - Upper Arch

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Tilt your head back and take a photo. Try to get your full arch. Face a window for the best lighting or use a flashlight to brighten the palate.

Photo 5 - Lower Arch

Accepted file types: jpg, jpeg, gif, png, pdf, heic, heif, Max. file size: 64 MB.

Tilt your chin down and take a photo. Try to get your full arch. Face a window for the best lighting or use a flashlight to brighten the tongue and back teeth.

Patient Information

Patient Name*

First Last

If minor, Parent Name:

First Last

Email*

Phone*

I am a ...*

new patient interested in a smile assessment

current patient checking in for virtual treatment

previous patient doing a retainer check

What is your goal with treatment?

Do you have any concerns about your treatment?

Do you have any concerns about your retainers?

Please wait for a confirmation message to ensure your photos have been uploaded, it may take a minute depending on image size and internet connection.

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