In Office Whitening Consent Form

Consent Form for In-Office Whitening

If you offer our in-office prefilled tray kits or brush-on system you can use the form below. If you have questions, please email am@whiterimagedental.com or call 1.877.944.8330 to speak to your Personal Marketing Consultant: Christina Morrin ext 2, Debbie Spears ext 4, Gwendolyn Edwards ext 108 and Tearsa Black-Harvey ext 102.

Download the Whiter Image Patient Consent Form