Treatment Plan Uploader
Patient Info
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
About Your Plan
How can we help?
Are you seeking a second opinion only, or a price match if our diagnosis aligns?
Second opinion only
Second opinion + price comparison
Secure Uploads
Upload your treatment plan (PDF, JPG, DOC)
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Upload your written plan and any photos/x-rays you have. More detail = faster review.
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Consent & Privacy
By submitting this form, I authorize Dental Designs Boston to review the information and files I provide for the purpose of a complimentary second opinion. I understand this service is informational only and not a diagnosis or guarantee of savings. I consent to Dental Designs Boston contacting me regarding my submission.
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I have read and agree to the HIPAA Consent statement:
Legal Acknowledgement #1
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I understand that “up to 40% savings” applies only if Dental Designs Boston’s diagnosis and recommended treatment align with the plan I submitted.
Legal Acknowledgement #2
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I understand that this offer is not valid for cases billed through insurance, Medicaid, or Medicare.
Legal Acknowledgement #3
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I understand that all care is based on independent clinical evaluation in accordance with Massachusetts dental laws.
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