Request a Virtual Consult

FreySmiles offers Virtual Consults using video conferencing technology. If you prefer a Virtual Consult, please complete this form. A member of our team will contact you to schedule.

    Patient Name *

    Name of Parent or Guardian

    Phone Number *

    Email *

    Date of Birth *

    Preferred Day(s) *

    Preferred Time(s) of Day *

    Tell Us About Your Situation