Send a Selfie, Get a Selfie 1. Upload a Selfie 2. And we'll take care of the rest! Once our smile specialists receive your uploaded selfie, you will receive your new digitalized smile. 3. Love what you see? Come in for an in-office consultation and free whitening! *Disclaimer: Patient must have an updated exam and cleaning to qualify for free whitening. Whitening trays are sold separately. We want this process to be easy for you! Please upload an existing selfie or use the 'take photo' option on your device to upload a new one. For your convenience, feel free to text the submission over to 213-204-2033. Here are some examples: Full Face (required) Crop next Your Name * (required) Your Email * (required) How did you hear about us?* (required) Your Phone Number * (required) See how you'll look with brighter, straighter, whiter teeth next By checking the box on the contact form, you agree to the Terms of Use listed here: Communications through our website or via email are not necessarily encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold Smile Virtual Consult, its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties. I Have Read & Understand The Terms
