Complete Your Virtual Consult

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, contact us directly at 1-630-323-1201.

Virtual Consult

  • MM slash DD slash YYYY
  • Take 8 pictures of your smile from the angles below.

    front smile with no teeth
    front smile with teeth
    side profile photo
    left side smile using spoons
    front smile using spoons
    right side smile using spoons
    roof of mouth
    bottom of mouth

    Need help taking photos?

  • Drop files here or
    Accepted file types: jpg, jpeg, png, gif, Max. file size: 6 MB, Max. files: 8.
    • Step 3: You’re finished! Dr. Carrie and Dr. Ami will assess your photos and will get back to you soon with your treatment plan options.