Remote Smile Assessment

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Whether you are an ongoing patient in need of a checkup, or a new patient, interested in having your smile assessed to begin treatment, we are happy to talk and answer any of your questions.

Step 1: Simply fill out the form below and answer the questions. We will respond to your questions or concerns within one business day.

Step 2: After we have replied, we may find ourselves needing to see your teeth. At that point we will ask you to email us 5 photos to help assess you. Click here to see our guide to help you take the most helpful photos.

Step 3: After we have your initial information/photos we can continue communication however suits you best, be it email, text message or even FaceTime/Skype consults.

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Please fill out the form below to start.

Location Location Pembina Valley - Morden Island Lakes - Winnipeg

What kind of patient are you? What kind of patient are you? New/Prospective Existing

How can we assist you? How can we assist you? I am interested in having my smile assessed to start orthodontic treatment. I have a question/concern about my current orthodontic treatment.

Name

Parent's Name (if applicable)

Email Address

Phone Number

Do you have more information you'd like to share? Let us know here!

After filling out the form above, we may ask that you email us photos to be able to have more information about your bite, teeth, and gum tissue. If we ask for that, here is how you can take the most useful photos.

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PHOTO TIPS

1. Use spoons to retract your lips and cheeks (see below)

2. Have a family member take photos for you.

3. Any smart phone camera is fine. Make sure your flash is on. Don’t use any kind of effects or wide angle lens.

4. Relax your lips.

5. For photos 3-5, keep your teeth together. Make sure to bite on your back teeth.

Photos to Include

1. Upper Teeth

2. Lower Teeth

3. Right Side

4. Left Side

5. Centre

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Let’s see what’s going on

Once you have taken your photos, reply to the email we sent you and attach the 5 photos. We will be in touch shortly after with further guidance.

When we send you an email, or you send us an email, the information sent is not encrypted. That means a third party may be able to access the information and read it since it is transmitted over the Internet. If you receive an email, someone may be able to access your email account and read it.

HIPPA Info

HIPAA stands for the Health Insurance Portability and Accountability Act
HIPAA was passed by the U.S. government in 1996 in order to establish privacy and security protections for health information
Information stored on our computers is encrypted.
Most popular email services (ex. Hotmail®, Gmail®, Yahoo®) do not utilize encrypted email.
Email is a very popular and convenient way to communicate for a lot of people, so in their latest modification to the HIPAA act, the federal government provided guidance on 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 https://www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.pdf.

By sending a request for remote smile assessment with email you are accepting the terms and conditions of utilizing non-encrypted email to communicate health information.

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