Cohen Clear Smiles Online Assessment

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Want to see if you are a candidate for Cohen Clear Smiles treatment? Fill out the form below so that Dr. Cohen can quickly review your case.

  • Accepted file types: jpg, gif, png, jpeg.
    Take a picture of the right side of your teeth, biting down. See below for example.
  • Accepted file types: jpg, gif, png, jpeg.
    Take a picture of the front of your smile, biting down. See below for example.
  • Accepted file types: jpg, gif, png, jpeg.
    Take a picture of the left side of your teeth, biting down. See below for example.
  • This field is for validation purposes and should be left unchanged.

 

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Example Images