3800 Waldo Ave, New York, NY 10463
Request a consultation

Case Presentations for Smile Gallery

Dear Doctor,

Below is a form we use to collect information about the before and after cases photos you submitted to us for use on the “Real Solutions” Smile Gallery pages of the Smile Docs website and promotional materials (web and print) we will be designing for you.

Please provide the following information for each individual or set of photos you submitted:

1. Patient’s First Name:

2. Patient’s Chief Complaints/Concerns:
Here you will explain what was your patient’s complaints or concerns were about their teeth and/or smile. Please write in a conversational tone and limit your description to 196 characters max, please.

Important: What you write is what will appear, we will not be checking for grammar or spelling errors so please take your time and check your work.

3. Your Solutions/Work Performed:
Here you will state the dental work you provided as part of your treatment plan. (e.g. Veneers front teeth plus lower teeth whitening). If you desire, you can write the time it took to complete the work (e.g. All work was completed in 4 visits). Please write in a conversational tone and limit your description to 196 characters max, please.

Important: What you write is what will appear, we will not be checking for grammar or spelling errors so please take your time and check your work.

4. Photo Usage Disclaimer
Please check the box if you have been given permission by your patient to use their photo(s) in your print and web promotions including Smile Docs™ website and promotional pieces.

Please complete this form and submit it to us as soon as possible so we make the Photo Gallery section live

Sincerely,

The Smile Docs™ Team:

newsample

Sincerely,

The Smile Docs™ Team

Step 1 of 21

4%
  • By selecting this box I acknowledge that I have obtained consent from this patient to use their photo(s) in my marketing and web promotions including my pages on the Smile Docs™ website/print materials.
Google+