Virtual consultation

Virtual consultation

We are pleased to offer a virtual screening option for both new and existing patients. Follow the instructions below to send us a series of 6 photographs of your smile. Dr. Perez-Cisneros and Dr. Boyd will review your photos, and our team will reach out to you within 1-2 business days.

How it works:

  1. 1

    Take pictures

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

  2. 2

    Submit photos

    Submit all 6 of your photos using the form below and tell us about any concerns you have.

  3. 3

    Review

    The doctor will review your photos with you during your virtual appointment.

How to photograph your smile

Photos should be taken in a seated position, in a room with good lighting. For best results, have someone else take the photos, as they can be difficult to take on your own. If you are a minor, ask your parent for permission and assistance to upload your photos.

Text our office at (281) 336-1381 if you have any questions about this form.

"*" indicates required fields

Show Us Your Smile

Max. file size: 256 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.
Max. file size: 256 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.
Max. file size: 256 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.
Max. file size: 256 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.
Max. file size: 256 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.
Max. file size: 256 MB.
Stand up straight, face the camera, and give us your best smile. We miss you!

Patient Information

Patient Name*
If minor, Parent Name:
Preferred Method of Contact
I am a ...
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.