Provider Details

We would like to welcome you as one of our newest Smile Connection Providers!

Please find a form below which will allow you to submit your company details for our team to populate your profile and build your unique Invisalign landing page. If you have any changed or edits in the future please provide these changes by email to hello@smileconnection.co.uk.

Step 1 of 4

Practice Details
Contact details for Smile Connection to reach you, these details will not be shared on our website.
Practice Trading Name?
Practice Limited Company Name (if different from above)
Address
Street Address Address Line 2 City County Postcode Country
Does your practice have off road parking?
- Yes
- No
If no parking, where is the closest car park?
Phone
Dentist Name?
First Last
Point of contact for new bookings?
First Last
Email for new bookings?
Point of contact for weekly reviews?
First Last
Point of contact Email (If different from business email):

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Website Listing Details
These are the details that will be shared on our Smile Connection Provider Listings page.
Phone
Website
Email
Do you have an online booking system?
- Yes
- No
Full About Us Section
Up to 1000 characters about your practice and your Invisalign services
Short About Us Section
Up to 300 characters about your practice and your Invisalign services
How to find you?
Enter a brief description of how to find your practice in your own words? This should be a description that makes sense to people who live in your area. For example, head to McDonald’s and take a right then 10m down the road you will find us on the left opposite the a car park.
Hero (banner) image
Upload a photo to represent your practice or an image of your team - Max 1200px wide (images may be cropped to fit in the required space)
Accepted file types: jpg, jpeg, png, Max. file size: 350 MB.
Small image
Upload a photo to represent your practice - Max 400px wide (images may be cropped to fit in the required space)
Accepted file types: jpg, jpeg, png, Max. file size: 200 MB.
Logo
Upload your company logo - Max 400px wide (Please provide a copy without a background)
Accepted file types: jpg, jpeg, png, Max. file size: 200 MB.

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Name
First Last
Name of representative submitting details.
Consent
I herby agree to Smile Connection using my submitted details to contact me, market by services to others and post on their website (https://smileconnection.co.uk). I confirm that if any of my submitted details change, it is my responsibility to update Smile Connection on these changes and will not hold them responsible for any incorrect details due to a delay in this undertaking.

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Provider Details

Step 1 of 4

Practice Details

Website Listing Details

Treatment Details

Invisalign Treatments

Invisalign Full

Invisalign Lite Double Arch

Invisalign Lite Single Arch

Invisalign I7

Invisalign Express

Invisalign Go

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