Free Virtual Consultation Step 1 of 10 10% Interested in learning about obtaining a beautiful and healthy new smile before coming to our office? Start your smile journey with Decatur Orthodontics, an expert orthodontic practice that understands your busy lifestyle. Start by telling us a little about yourself. Then, you'll snap a few pictures of your teeth and Dr. Francis will be in touch regarding your treatment options!Patient Name*Email* Phone*Birthdate* Month Day Year Age* What concerns you about your smile?* Smile Esthetics Crowding Shifting Spacing Overbite (the upper front teeth appear to stick out over the lower teeth) Underbite (the lower teeth may appear too far forward, while the upper teeth are set too far back) Other Upload pictures of your smile from the angle below: Facing the camera, lips together & relaxed* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. Upload pictures of your smile from the angle below: Facing the camera smiling* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. Upload pictures of your smile from the angle below: Turned toward the left, lips together & relaxed* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. Upload pictures of your smile from the angle below: Frontal view biting down* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. Upload pictures of your smile from the angle below: Right side view* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. Upload pictures of your smile from the angle below: Left side view* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. Upload pictures of your smile from the angle below: Upper view* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. Upload pictures of your smile from the angle below: Lower view* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 5 MB, Max. files: 1. NameThis field is for validation purposes and should be left unchanged.
