Complete Your Orthodontic Virtual Visit!

Complete the information below for Dr. Hopkins and her team to review and we will be in touch. For photo instructions, click here! If you are an aligner patient, please wear your aligners while taking the photos. If you are completing a retainer check, please wear your retainers while taking the photos. If your treatment currently includes rubber bands, please wear your rubber bands while taking the photos.

First Name*

Last Name*

Email*

Phone*

Date of Birth:*

Preferred Method of Communication

If you are an aligner patient, what number aligner are you on? Please wear your aligners in the photos.

How many days have you been in this aligner?

Do you have any additional information that you'd like to send Dr. Hopkins at this time?

Upload Photos

Supplies Needed: 2 Spoons & Cell Phone Camera. If you are an aligner or retainer patient, please wear your aligners or retainers in the photos. If you have rubber bands in place, please take photos while wearing the bands.

#1 Smiling*

Look starlight at the camera and smile as big as you can.

#2 Lower Teeth*

Open your mouth wide and tilt your chin downwards toward your chest. Hold the camera so it’s perpendicular to the biting surfaces of your bottom teeth. Make sure your full arch is showing and then snap a picture.

#3 Upper Teeth*

Open your mouth wide and lift your chin as high as you can. Hold the camera so that it’s perpendicular to the biting surfaces of your top teeth. Make sure you can see the full arch and then click.

#4 Front View*

Bite down so your back teeth touch. Directly facing the camera, smile wide and click, trying to get as many teeth as you can in the picture. If you need to, you can pull your lips and cheeks away from your teeth with your fingers to show more teeth.

#5 Right View*

Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the right side of your mouth to expose more of your teeth. Take a picture of the right side.

#6 Left View*

Bite down so that your back teeth touch, smile and retract the cheek and lips with your finger on the left side of your mouth to expose more of your teeth. Take a picture of the left side.

*maximum upload file size 3MB Each

If you are having trouble submitting the form, please text your photos and information to (803) 594-4832.