Step 1 of 6 - Smile Concerns 0% Are you a current patient or new patient? Current Patient New Patient What are your concerns?*(Choose any that apply.) Overbite / Underbite Crooked / crowded Spacing / gaps Others Is this an emergency or non-emergency?*(Choose any that apply.) Emergency Non-Emergency What's the concern/issue Which treatment modality are you interested in?*(Choose any that apply.) Metal braces Clear braces Invisalign for kids Invisalign for teens/adults Have you ever had orthodontic treatment?* Yes No If so, was it with Sing Orthodontics?* Yes No Watch the instruction video and take similar photos on your phone. Upload using the button below! Your browser does not support the video tag. Uploading photos Drop files here or Select files Accepted file types: jpg, png, gif, pdf, jpeg, Max. file size: 10 MB, Max. files: 6. Patient Information Dr. Sing will be reviewing your photos and concerns. We'll be in touch shortly!Patient's Full Name* Your name, if not the patient Patient's Date of Birth* MM slash DD slash YYYY Phone* Email* Preferred contact methodTextCallEmail
