Virtual Smile Exam

Would you like to find out if you or your child are ready for orthodontic treatment with Invisalign or Braces?
At Abraham Orthodontics, we offer a FREE virtual smile exam so you can find out:

1. Is it the right time for treatment? If yes, when can you schedule a complimentary full exam?
2. How much does treatment cost and what are the payment options?

From there, a complimentary in-office exam would be scheduled to be completed.

Fill out the form below and take 5 Pictures of Your teeth:

We will contact you to discuss your options!

    Date (mm-dd-yyyy)*


    PATIENT INFORMATION

    Your Name *
    Last Name *
    Email *
    Telephone (Guardian telephone if under 18)
    Date of Birth (mm-dd-yyyy)*
    Patient's Guardian

    Guardian's Email
    Relationship


    Main Orthodontic Concern:

    Are you undergoing active dental treatment? NoYes

    Have you seen another orthodontist before? NoYes

    Photos Upload (See the sample above)

    Top surface of upper teeth
    Top surface of lower teeth
    Frontal Smiling
    Left Smiling
    Right Smile


    About us:

    Dr. Abraham of Abraham Orthodontics in Leamington, ON is excited to be the only orthodontic specialist offering Invisalign and only Platinum Provider  in Leamington ON and surrounding communities of Kingsville Ontario Invisalign, Essex ON and Harrow ON, Amherstburg ON and Tilbury ON and Wheatley ON and all of Chatham Kent ON! Call 519-398-8101 for braces, invisalign or orthodontics!