Transform Your Smile From Anywhere

You can learn if you’re a candidate for braces or clear aligners from your phone with a virtual consultation at Germantown Orthodontics. Dr. Erin Kopicki will assess your smile, and you don’t even have to leave home!

How It Works

First, you'll fill out a form to tell us about yourself and your smile goals. Then, you'll snap a few pictures of your teeth.

Step 1: 
With your smartphone and someone to help you, replicate the photos below. The clearer the image, the more we can see and discuss!

photo of smile
photo of smile
photo of smile
photo of smile
photo of smile
photo of smile
photo of smile
photo of smile

Need help taking photos?

Step 2:
Fill out the form below.

  • Drop files here or
    Max. file size: 50 MB, Max. files: 8.
    • This field is for validation purposes and should be left unchanged.

    Step 3:
    All done! Dr. Erin will review your photos and reply with your treatment plan options.

    VERY IMPORTANT

    When we send you an email, or you send us an email, the information sent is not encrypted. That means a third party may be able to access the information and read it since it is transmitted over the Internet. If you receive an email, someone may be able to access your email account and read it.

    • HIPAA stands for the Health Insurance Portability and Accountability Act
    • HIPAA was passed by the U.S. government in 1996 in order to establish privacy and security protections for health information
    • Information stored on our computers is encrypted.
    • Most popular email services (ex. Hotmail®, Gmail®, Yahoo®) do not utilize encrypted email.
    • Email is a very popular and convenient way to communicate for a lot of people, so in their latest modification to the HIPAA act, the federal government provided guidance on email and HIPAA.
    • The guidelines state that if a patient has been made aware of the risks of unencrypted email, and that same patient provides consent to receive health information via email, then a health entity may send that patient personal medical information via unencrypted email.
    • For more information visit https://www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.pdf.

    By sending a request for virtual consultation with email you are accepting the terms and conditions of utilizing non-encrypted email to communicate health information.