New Patient Virtual Exam Get Started with 4 quick steps! Smile Concerns Interests Upload photos Patient info Step 1 of 5 - Smile Concerns 0% What are your concerns?*(Choose any that apply.) Overbite/Underbite Crooked/crowded Spacing/gaps Others 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?*YesNoIf so, was it with White, Greer, & Maggard?*YesNo Review the 6 example photos and take similar photos on your phone. Upload using the button below! View Example PhotosUploading photos Drop files here or Accepted file types: jpg, png, gif, pdf, jpeg. Patient Information Dr. Cliff Lowdenback will be reviewing your photos and concerns. We'll be in touch shortly!Patient's Full Name*Your name, if not the patientPatient's Date of Birth* Date Format: MM slash DD slash YYYY Preferred office locationLexington - BeaumontLexington - HamburgLexington - Wellington WayLexington - AlumniLouisville - OuterloopLouisville - TaylorsvilleCorbinCynthianaDanvilleGeorgetownLondonMoreheadMt. SterlingNicholasvilleParisRichmondShepherdsvilleWinchesterPhone*Email* Preferred contact methodTextCallEmail This iframe contains the logic required to handle Ajax powered Gravity Forms.
