[Practice Name][Client logo + name from intake]

Illustrative smile preview

See what's possible for your smile.

Choose a goal, add one clear selfie, and explore a concept before your consultation at [Practice Name].

1 · Choose your goal

Veneers Whitening Clear aligners Full makeover

2 · Add one selfieTap to take or upload one selfieFace the light · no filters · smile naturally · JPG or PNG

Illustrative concept only — not a diagnosis, a treatment guarantee, or a prediction of your individual result.

Create my smile preview

Private & secureFast previewNo obligation

Privacy·Terms·[Client legal links]

[Practice Name][Client logo + name from intake]

Call

Illustrative smile preview

See what's possible for your smile.

Choose a goal, add one clear selfie, and explore a concept before your consultation at [Practice Name].

1 · Choose your goal

Veneers Whitening Clear aligners Full makeover

2 · Add one selfieTap to take or upload one selfieFace the light · no filters · smile naturally · JPG or PNG

Illustrative concept only — not a diagnosis, a treatment guarantee, or a prediction of your individual result.

Create my smile preview

Private & secureFast previewNo obligation

Privacy·Terms·[Client legal links]

[Practice Name][Client logo + name from intake]

Step 2 of 6

Your illustrative preview

Goal: Veneers · generated just now

Before

Illustrative

This is a visual concept to start a conversation with [Practice Name] — not a diagnosis, a guarantee, or a prediction of your result. Your actual plan comes from an in-person exam.

What happens nextFour quick questions so the team can prepare options and financing that fit you. Then we text you this preview to keep.

Continue Try a different goal

Your photo is stored privately and never shared without your consent.

BackQuestion 1 of 4

Budget

What investment feels comfortable for veneers?

Pick the closest. Nothing is binding — it helps the team prepare options and financing that fit. Bands are set by the practice.

Under $[A]$[A] – $[B]$[B] – $[C]Over $[C] / not sure yet

Back

Your answers stay private — used only to prepare your consultation.

BackQuestion 2 of 4

Financing

Would monthly payments help?

Many patients spread the cost. The team will only show options you ask for.

Yes — show me monthly options Maybe, depends on the terms No — I'd rather pay in full

Back

Your answers stay private — used only to prepare your consultation.

BackQuestion 3 of 4

Timeframe

When would you like to start?

A rough idea is enough — it helps the team hold the right appointment.

As soon as possible Within 3 months Within 6 months Just exploring for now

Back

Your answers stay private — used only to prepare your consultation.

BackQuestion 4 of 4

Dental history

Any previous dental work on your front teeth?

Fillings, crowns, veneers, braces — whatever you remember. It helps the exam, nothing else.

Routine dentistry only Some — crowns, veneers or bonding Braces or aligners before Not sure

Back

Your answers stay private — used only to prepare your consultation.

BackStep 4 of 6

Where should we send your preview?

We'll send your preview link by text and email, with a personal next step from [Practice Name].

Full name

Mobile phone

[Practice Name] may contact me by text, call or email about my smile preview and consultation.Required Send me occasional offers and smile tips from [Practice Name].Optional

Send my preview & next steps

By continuing you accept the Privacy Policy and Terms of [Practice Name]. Your selfie is never shared without your consent.

[Practice Name][Client logo + name from intake]

Step 5 of 6

Preview sent · check your phone

A message from Dr. [Provider Name]

What happens at your consultation, how financing works, and the next step.

[Client-approved video][0:45]Dr. [Provider Name] · [Practice Name]

Prefer to reserve your visit now?Put $[AMOUNT] toward your treatment today and lock in your consultation. [Refund policy text from config] · [Shown only when the practice enables vouchers]Reserve with voucher

Book my consultation

Prefer to talk? Call [Practice Phone]

[Practice Name][Client logo + name from intake]

Call

Thanks, [First name] — your preview is on its way

We're sending it to your phone and email now, and the team at [Practice Name] has your request.

What happens next

1Your preview link arrives by textSave it — it's the starting point for your visit.

2A coordinator reaches out[Within one business day] from [Practice Phone].

3Consultation + financing optionsExam first, then a plan and payment options that fit.

[Practice Name][Street address · City, ST] · [Practice Phone]
[Hours from config]

Book a time now Call [Practice Phone]

Privacy·Terms·[Client legal links]