Thank You!

The photos of your smile will help us qualify you for a smile makeover, and the information you provided will help us match you with funding. We’re ALREADY helping people in your area get free smile makeovers, and we want to help you too!

What's Next?

Obviously not all cases will be eligible. However, if we do ask for additional information – that is not an indicator of ineligibility. It only means we are investigating more funding options for your new smile.

It’s simple, the more we know about you, the better our chances of funding your case. If you receive a request for more information, it’s not required, but failing to complete a request may cause your case may stall out. So it’s certainly in your best interest to reply thoroughly and promptly.

​**Incomplete submissions cannot be considered. If your submission was not complete please resubmit your full entry.

​Now that you’re working with Brighter Image Lab, make sure you’re following our YouTube Channel to receive all of our important updates and offers.​ – ​​Click here to subscribe

© Brighter Image Lab – 2022

Submit Your Photos for a FREE Facial Analysis and a Chance at a Free Smile Makeover

You may also qualify for discounts or other special offers.



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    Your Story

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    I hereby authorize the use of my likeness and/or story for any and all purposes. I agree that Brighter Image Lab will not be held liable for any loss, damages of injury associated with applying for, accepting, or using their new smile. I agree that Brighter Image Lab retains the right to make any and all decisions as to the nature of the products or services being rendered and/or to cancel any agreement or work being done for any reason whatsoever. By submitting this form, I confirm I have read and agree to all of the terms & conditions.

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    Tell us ​your Smile Story ​to get a BONUS: Free Facial Analysis

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    We Knew You'd Be Listening!

    Select the station you heard us on below to enter to win a FREE Smile Makeover!

    Brighter Image Lab.com
    We knew you'd be listening! Select the station you heard us on below to enter to win a FREE Smile Makeover!

    How Does This Work?

    Brighter Image Lab provides life-changing smile makeovers to thousands of clients every year.

    We also partner with a non-profit named New Life Smile who matches people like you, with public and private funding sources to hopefully cover a portion (if not ALL) of your smile makeover costs. We’re ready to help right now!

    We’ve already given away free smiles to people in your area and we’re ready to do a lot more!

    Attention: Please read

    Review the following options and select the appropriate choice below.

    If you are an existing client and need to upload photos to your account, click this button.

    Upload your photos for a free consultation

    Need feedback on whether dental veneers are right for you? You can upload photos here.