This evaluation is provided as a service to the patient to discover if this patient may need to see an orthodontist. It is not intended to be comprehensive or medically actionable without a full in-person orthodontic evaluation. By submitting this form the patient has consented to communications for and with our office over sms or via phone concerning our evaluation. Their information is stored on secure, HIPAA compliant servers. We value the patient's and your office's privacy and making sure all information is only shown to those who've given permission.