Online Video Orthodontic Exam : Freytag Orthodontics Video Exams

Watch Our Instructional Video

Yay!! We are so excited that you decided to participate in our Online Video Exam. Our Instructional Video will tell you everything that you will need to know.

Tell Us A Little About Yourself

Full Name*

First Last

Phone*

Your Email*

Please let us know the best way to contact you*

Choose the video chat service you'd prefer for the online video exam:

Facetime
Skype

Video Chat Contact*

Phone # (Facetime) or Username (Skype)

Message

Would you like to book now, or have someone connect with you?*

Book Now
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Text Me
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Online booking will be available starting in October

Age*

I certify that I am 18 years or older
I am under the age of 18 years

Parent or Guardian's Name*

First Last

Parent or Guardian's Phone*

Parent or Guardian's Email*

How did you hear about us?*

How did you hear about us? (Other)

Step 1 of 2

Watch Our Instructional Video

Tell Us A Little About Yourself