Once you complete the patient intake form below, there is a place for you to consent to obtaining advice about your dental concerns.
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Please Look Over These Suggestions For Submitting Photos and Documents
Please Read Over The Consent Form
Submit Patient Intake Form Here
Obtaining pictures is a lot easier with a trusted friend. Two spoons can be used to help retract the cheeks. Metal or silver spoons can reflect light back at the picture or onto the teeth so plastic spoons typically work better.
To properly evaluate the teeth, it is suggested to have the following views:
1) Front
2) Right Side
3) Left Side
4) Lower
5) Upper
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Payment
The Cost of this teledentistry consultation is based on the concerns and depth of information submitted for the consultation. The starting cost is $35 and can range to the cost of a comprehensive exam fee of up to $140.00. The initial $35 fee will be collected at the time of this submission and any additional fees will be discussed and made aware before the completion of the consultation. My Tooth Advisor is NOT affiliated in any way with any dental insurance company or coverage and payment of the fees will be requested in full.
Clicking the submit icon will direct you to the patient intake form to submit any dental concerns and upload pictures/documentation. This will also direct you to open a patient portal in Teledent which is used to communicate with your dental advisor.
mytoothadvisor@gmail.com
@mytoothadvisor
@mytoothadvisor
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