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    <h1 style="text-align: center">Virtual Smile Assessment</h1>
    <br><br>
    <div style="margin:auto; max-width: 700px; text-align:center;">
        Take photos of your smile and include the following info. Our team will send you a more accurate estimate of cost, schedule, and treatment options than otherwise possible -- all from the comfort of your home.<br /><br />
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            <br>Take photos of your smile and let us know your concerns. You will soon receive a more accurate summary of your treatment options, time, and cost than otherwise possible -- all without leaving home.
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                <i class="fa fa-home" aria-hidden="true" style="color:SaddleBrown; vertical-align: middle; font-size:35px !important;"></i><span> From the Comfort of your Home</span><br />
                &nbsp;&nbsp;<i class="fa fa-usd" aria-hidden="true" style="color:darkgreen; vertical-align: middle; font-size:35px !important;"></i><span>&nbsp;&nbsp;No Cost, No Obligation, No Commitment</span> <br />
                <i class="fa fa-clock-o" aria-hidden="true" style="color:#003593; vertical-align: middle; font-size:35px !important;"></i><span>&nbsp; Learn Your Orthodontic Options and Costs within 48 hours</span><br />
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                <div>This Assessment is <i>super-easy with your smartphone</i> - for smile photos <i class="fa fa-camera" style="font-size:16px !important;" aria-hidden="true"></i>.</div>
                <div id="desktopwarning" style="display:none">Provide the info below or visit http://simplyortho.ca/smile on your phone.</div>
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                                            <option>October</option>
                                            <option>November</option>
                                            <option>December</option>
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                                        <span style="text-transform:initial">Include the following pictures to receive an accurate online assessment:</span><br /><br />
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                                    <span style="font-size:11pt"><i>No Obligation, No Commitment</i></span>
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                        <h2 style="font-weight:bold">Success! Your Assessment request has been received</h2>
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                    You will receive your Smile Assessment from our team within 2 business days. Contact our office if not received via e-mail as expected.
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                                <li>
                                    <a id="share_pin" href="http://pinterest.com/pin/create/button/?url=http%3A%2F%2Fsimplyorthodontics.ca&media=//www.simplyorthodontics.ca/s/SPEED_Braces.jpg&description=Get%20Braces" target="_blank" title="Pin Your Picks"><img alt="Pin Your Picks" src="//www.simplyorthodontics.ca/s/Pinterest.svg"></a>
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                            </ul>
                        </div>
                        <br /><br />
                        Learn more about the <a href="/types-of-braces/">types of braces</a> we offer and <a href="/invisalign">Invisalign</a>
                    </center>
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<div id="form_error_message" style="display:none"><center> <h2>Unfortunately the Assessment could not be submitted at this time</h2> <h2>Please contact us directly <a href="http://simplyorthodontics.ca/schedule-appointment">here</a>, or by calling 780-756-7600.</h2> </center></div>
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