Dental Smile Makeover Photo Release Form
About this free form template

Document Your Best Work with Confidence

For dental practices offering cosmetic treatments and smile makeovers, capturing the transformation journey is essential for showcasing your expertise—but protecting patient privacy and securing proper consent is just as important. This Dental Smile Makeover Photo Release Form gives you a professional, HIPAA-mindful solution for obtaining clear, documented permission to use patient photos, videos, and testimonials across your marketing channels.

Built specifically for dentists, orthodontists, and cosmetic dental practices, this template helps you capture all the details you need: treatment type, photography preferences, marketing channel approvals, and testimonial consent—all in one streamlined form that patients can complete digitally before or after their appointment.

Who This Template Is For

This form is designed for:

  • Cosmetic dentists documenting veneers, whitening, bonding, and full smile transformations
  • Orthodontists capturing braces and aligner progress photos
  • General dental practices building a portfolio of restorative work
  • Dental marketing teams managing compliant patient content for social media and websites
  • Practice managers streamlining consent workflows and maintaining organized records

Why Paperform for Dental Consent Forms?

Paperform makes it simple to create professional, on-brand consent forms that work seamlessly with your existing practice management software. Collect signatures with Papersign for legally binding eSignatures, and use Stepper to automatically file signed releases in your patient management system, notify your marketing team, or add approved patients to your testimonial outreach list.

With conditional logic built in, you can show or hide follow-up questions based on what channels patients approve, and send personalized confirmation emails that reinforce trust and professionalism. Plus, your form can match your practice branding perfectly—no developer required.

Whether you're building a smile gallery for your website, sharing transformations on Instagram, or creating video testimonials for your practice, this template gives you the documentation and peace of mind you need to celebrate your best work while respecting patient privacy.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.