Virtual Online Consultation × Submission Preview … Option 1: Please complete the form below. Upload your teeth photos and hit submit at the bottom of the form. Be sure to include an email address so that you can be contacted. Julie Staggers Orthodontics will respond in 24 to 48 hours and answer your questions about your teeth. Option 2: If you would like a live, online video conferencing appointment, complete the information below and check the live online option in lieu of uploading photos. Then hit submit at the bottom of the form. PHOTO TAKING TIPS Front of the teeth photo: get a close up of the teeth smiling Right and left sides of the teeth: get a close up by holding the cheek back with your finger Photo of the upper teeth: get a close up of the teeth by opening wide tipping your head backwards Photo of the lower teeth: get a close up of the teeth by opening wide and putting your chin down. Name Address AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSabaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint EustatiusSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Email* Request Live Online Consultation Request Live, Online Consultation (no photos need be uploaded) Upload a photo of the front of the teeth Upload a photo of the right side of the teeth Upload a photo of the left side of the teeth Upload a photo of the upper teeth Upload a photo of the lower teeth Example of Photos To Be Submitted Are Shown BelowPlease submit each of these type of photos if you are able. If not, send what you are able. PREV NEXT PREVIEW RESET SUBMIT Sample Photos