Nominate a patient for a life-changing smile makeover!
At Chase Inspired Dentistry, we believe that a beautiful smile, especially during the young adult years, can provide a life-changing boost of confidence. We are excited to offer a unique opportunity for young adults, high school and college-aged, to receive a life-changing smile makeover with porcelain veneers at no cost to the patient and their family. If you know someone who deserves this transformation and whose life would truly be changed with a new smile, we encourage you to nominate them for this extraordinary opportunity.
Step 1: Nomination Form To get started, please fill out the nomination form with the following information about the young adult patient:
- Name: Provide the full name of the nominee.
- Age: The nominee must be between 16 and 24 years old to be eligible for this contest.
- Phone Number: A contact number where we can reach the nominee or their guardian.
- Email Address: We’ll use this email to contact the nominee or their guardian if they are selected.
- Full Face Smiling Photo: Upload a clear, full-face photo of the nominee with a genuine smile. This will help us see the potential of their smile makeover.
- Close-Up Smiling Photo: Along with the full-face photo, please upload a close-up shot of the nominee’s smile. This will assist in evaluating the possible improvements that can be made.
- Panoramic radiograph (if available): Upload the most recent panoramic radiograph (if available) of the patient’s dentition.
Step 2: Tell Us Their Story In this section, please tell us more about the nominee and why you believe they deserve this life-changing smile makeover. Share their journey, struggles, and aspirations, and let us know how this transformation could positively impact their life.
Step 3: Review and Submit Before submitting the nomination form, kindly double-check all the information provided to ensure its accuracy. Once you are satisfied with the details, click the “Submit” button to enter the nominee into the selection process.
Terms and Conditions:
- By submitting a nomination, you confirm that you have the nominee’s consent or, if the nominee is under 18, the consent of their parent or legal guardian.
- Nominations are open from July 24 to September 01, 2023. Any nominations received after the closing date will not be considered.
- The selected nominee will be contacted via the provided phone number or email address.
- The life-changing smile makeover prize is non-transferable and cannot be redeemed for cash or other dental services.
- The selected nominee will be required to attend a consultation at Chase Inspired Dentistry for a full dental evaluation before proceeding with the treatment.
- Epic Dental Studios will be providing the ceramic restorations for this procedure and will have dentists and lab personnel observing the procedure.
- The selected nominee, or their parent or legal guardian, must agree to the sharing of the patient’s first name and any photos and videos obtained in our office for training purposes and marketing, including social media.
At Chase Inspired Dentistry, we are dedicated to making a positive impact on the lives of young adults by giving them the smile they deserve. If you know someone who fits the criteria and is ready for a life-changing transformation, don’t miss this chance to nominate them. Together, we can create a brighter and more confident future for these remarkable individuals.
If you have any questions or need further assistance, please don’t hesitate to contact our team at Chase Inspired Dentistry at (801) 683-5239.
Dr. Chase Larsen