Schedule Virtual Consult

Dr. Casey Leavitt

How a virtual consult works

• Upload a close-up smile selfie. This is also an opportunity to share any concerns or desires you have regarding your smile.
• Dr. Leavitt will send you a customized video addressing your questions and concerns. This video will also contain your unique, personalized recommendations.
• Once you’ve reviewed your recommendations, you can schedule an in-person visit with Dr. Leavitt.

1Step 1

2Step 2

3Step 3

First Name(Required)

Last Name(Required)

Email(Required)

Enter Email Confirm Email

Postal Code(Required)

Phone(Required)

Consent

I consent to receive alerts via text message

About You

tell me your concerns, what you are hoping to achieve, and what you’d like me to address in your virtual consult

Upload a Close-up Smile Selfie (up to 6 images)(Required)

Drop files here or Select files

Accepted file types: jpg, gif, png, heic, jpeg, webp, Max. file size: 50 MB, Max. files: 6.

This is also an opportunity to share any concerns or desires you have regarding your smile.

Upload a Selfie (optional)

Accepted file types: jpg, gif, png, heic, jpeg, webp, Max. file size: 50 MB.

This is also an opportunity to share any concerns or desires you have regarding your smile.

Referral Source

Select OptionFriendsColleaguesFamilyInstagramWebsiteGooglePromotional EmailsOther

How did you hear about us?

Other Referral Source

Please specify

Δ