Welcome to Cottonwood Creek Dental's
NEW "VIRTUAL COSMETIC DENTAL EXAM!"  
This is a complimentary service and there is no commitment. If your interested in learning options to improve your smile, We're here to help!
* Final diagnosis is determined with an in office complimentary examination.
Lets Get Started!
 
Hi, this is Dr. Mike Dolby and I'm excited to help you with your smile.

Can you tell me your first name? *

 
Awesome {{answer_21149349}}, and what is your last name? *

 
Great, and what is the best phone number to contact you?

 
Thank you so much {{answer_21149349}}.  So, tell me a little about your dental concerns?

 
Sounds great. I will need you to upload a few photos of your smile so I can let you know your options.  Don't worry, they don't have to be perfect, just do the best you can.

1. A picture of your full face.
2. A close up picture of your smile from the front.
3. An picture from right side.
4. An picture from the left side.
5. A close up picture of any special concerns.

Here is a sample set of pictures.

 
1.  Upload your full face photo.

 
2. Now a close up picture of your smile from the front.

 
3. A picture from the right side.

 
4. A picture from the left side.

 
5. Finally a close up picture of any special concerns you have.

Thank you {{answer_21149349}}!
I will evaluate your pictures and get back to you as soon as possible.
Dr. Mike Dolby
Back to Cottonwood Creek Dental
Powered by Typeform
Powered by Typeform