{"id":401,"date":"2020-03-24T22:24:30","date_gmt":"2020-03-24T22:24:30","guid":{"rendered":"https:\/\/www.palmetto-smiles.com\/dentist\/?page_id=401"},"modified":"2020-09-16T18:37:33","modified_gmt":"2020-09-16T18:37:33","slug":"orthodontic-virtual-visit","status":"publish","type":"page","link":"https:\/\/www.palmetto-smiles.com\/dentist\/orthodontic-virtual-visit\/","title":{"rendered":"Orthodontic Virtual Visit"},"content":{"rendered":"[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; bg_color=&#8221;#0a529c&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;center&#8221; top_padding=&#8221;4%&#8221; bottom_padding=&#8221;2%&#8221; overlay_strength=&#8221;0.3&#8243; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;padding-6-percent&#8221; column_padding_position=&#8221;all&#8221; background_color=&#8221;#feca3f&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_link_target=&#8221;_self&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;20px&#8221; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text css=&#8221;.vc_custom_1585088655894{padding-bottom: 2% !important;}&#8221;]\n<h1>Complete Your Orthodontic Virtual Visit!<\/h1>\n[\/vc_column_text][vc_column_text]\n<h5>Complete the information below for Dr. Hopkins and her team to review and we will be in touch. For photo instructions, <a style=\"color: #0a529c; font-weight: bold;\" href=\"https:\/\/www.palmetto-smiles.com\/dentist\/wp-content\/uploads\/2020\/03\/Virtual-Care-Instructions.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">click here<\/a>! 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.<\/h5>\n[\/vc_column_text][nectar_icon icon_family=&#8221;iconsmind&#8221; icon_style=&#8221;default&#8221; icon_color=&#8221;Extra-Color-3&#8243; icon_padding=&#8221;0px&#8221; icon_iconsmind=&#8221;iconsmind-Arrow-Down&#8221; icon_size=&#8221;60&#8243; url=&#8221;#form-section&#8221;][\/vc_column][\/vc_row][vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; bg_color=&#8221;#0a529c&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;2%&#8221; bottom_padding=&#8221;4%&#8221; id=&#8221;form-section&#8221; overlay_strength=&#8221;0.3&#8243; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;padding-4-percent&#8221; column_padding_position=&#8221;all&#8221; background_color=&#8221;#ffffff&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_link_target=&#8221;_self&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;10px&#8221; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; bg_image_animation=&#8221;none&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f336-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"336\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/dentist\/wp-json\/wp\/v2\/pages\/401#wpcf7-f336-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"336\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f336-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p class=\"half-form-input\"><label>First Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label>\n<\/p>\n<p class=\"half-form-input\"><label>Last Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label>\n<\/p>\n<p class=\"half-form-input\"><label>Email*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p class=\"half-form-input\"><label>Phone*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span> <\/label>\n<\/p>\n<p class=\"half-form-input\"><label>Date of Birth:*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-of-birth\" \/><\/span><\/label>\n<\/p>\n<p class=\"half-form-input\"><label>Preferred Method of Communication<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"method-communication\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"method-communication\"><option value=\"Phone\">Phone<\/option><option value=\"Email\">Email<\/option><option value=\"Text Message\">Text Message<\/option><\/select><\/span><\/label>\n<\/p>\n<div style=\"clear:both;\">\n<\/div>\n<p><label>If you are an aligner patient, what number aligner are you on? Please wear your aligners in the photos.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aligner-tray\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"aligner-tray\" \/><\/span><\/label>\n<\/p>\n<p><label>How many days have you been in this aligner?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aligner-tray-placed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"aligner-tray-placed\" \/><\/span><\/label>\n<\/p>\n<p><label>Do you have any additional information that you'd like to send Dr. Hopkins at this time?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"additional-info\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"additional-info\"><\/textarea><\/span> <\/label>\n<\/p>\n<div style=\"clear:both;\">\n<\/div>\n<div style=\"background-color: #f1f1f1; padding: 3%; display: inline-block;\">\n\t<h3>Upload Photos\n\t<\/h3>\n\t<p><b>Supplies Needed:<\/b> 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.\n\t<\/p>\n\t<div class=\"thrid-form-input\">\n\t\t<p>#1 Smiling*<br \/>\n<img decoding=\"async\" src=\"https:\/\/www.palmetto-smiles.com\/dentist\/wp-content\/uploads\/2020\/04\/check-in-smiling.jpg\" \/><label><\/label>\n\t\t<\/p>\n\t\t<p class=\"small-descriptions\">Look starlight at the camera and smile as big as you can.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"view-1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".gif,.png,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"view-1\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"thrid-form-input\">\n\t\t<p>#2 Lower Teeth*<br \/>\n<img decoding=\"async\" src=\"https:\/\/www.palmetto-smiles.com\/dentist\/wp-content\/uploads\/2020\/03\/check-in-bottom.jpg\" \/><label><\/label>\n\t\t<\/p>\n\t\t<p class=\"small-descriptions\">Open your mouth wide and tilt your chin downwards toward your chest. Hold the camera so it\u2019s perpendicular to the biting surfaces of your bottom teeth. Make sure your full arch is showing and then snap a picture.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"view-2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".gif,.png,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"view-2\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"thrid-form-input\">\n\t\t<p>#3 Upper Teeth*<br \/>\n<img decoding=\"async\" src=\"https:\/\/www.palmetto-smiles.com\/dentist\/wp-content\/uploads\/2020\/03\/check-in-top.jpg\" \/><label><\/label>\n\t\t<\/p>\n\t\t<p class=\"small-descriptions\">Open your mouth wide and lift your chin as high as you can. Hold the camera so that it\u2019s perpendicular to the biting surfaces of your top teeth. Make sure you can see the full arch and then click.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"view-3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".gif,.png,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"view-3\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"clear:both;\">\n\t<\/div>\n\t<div class=\"thrid-form-input\">\n\t\t<p>#4 Front View*<br \/>\n<img decoding=\"async\" src=\"https:\/\/www.palmetto-smiles.com\/dentist\/wp-content\/uploads\/2020\/03\/check-in-front.jpg\" \/><label><\/label>\n\t\t<\/p>\n\t\t<p class=\"small-descriptions\">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.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"view-4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".gif,.png,.jpg,.jpeg\" aria-invalid=\"false\" type=\"file\" name=\"view-4\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"thrid-form-input\">\n\t\t<p>#5 Right View*<br \/>\n<img decoding=\"async\" src=\"https:\/\/www.palmetto-smiles.com\/dentist\/wp-content\/uploads\/2020\/03\/check-in-left.jpg\" \/><label><\/label>\n\t\t<\/p>\n\t\t<p class=\"small-descriptions\">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.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"view-5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".gif,.png,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"view-5\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"thrid-form-input\">\n\t\t<p>#6 Left View*<br \/>\n<img decoding=\"async\" src=\"https:\/\/www.palmetto-smiles.com\/dentist\/wp-content\/uploads\/2020\/03\/check-in-right.jpg\" \/><label><\/label>\n\t\t<\/p>\n\t\t<p class=\"small-descriptions\">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.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"view-6\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".gif,.png,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"view-6\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"clear:both; padding: 5px;\">\n\t<\/div>\n\t<p style=\"display: inline-block; font-size: 11px;\">*maximum upload file size 3MB Each\n\t<\/p>\n<\/div>\n<div style=\"clear:both; padding: 15px;\">\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p>\n<p style=\"font-size: 13px; padding-top: 10px; font-style: italic;\">If you are having trouble submitting the form, please text your photos and information to (803) 594-4832.\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"97\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;full_width_background&#8221; 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