Congratulations! Here's What's Next In The Teeth Whitening Process!

We've received your responses, please be on the lookout for an email from the VIP Smiles team with your next steps.

In the meantime, be sure to send a photo of your smile within 24 hours to our team using the form below, we'll need that in order to approve your application.

We'll be in touch soon!

Below is an example of what your photo should look like.


Once taken please use the form below to upload your photo for Dr. Austin to review.

Leave this field blank
Choose files: Photos must be jpg or png and a max of 2MB per file. Having trouble? Try reducing the photo size.
Uploading… (0%)

Oops. A file with this name has already been uploaded.

Oops. This file type isn’t allowed.

Oops. This file size is too big.

0/1 Files uploaded