PVSmile Free Assessment

Start the path to a better smile today

Filling this form will take you 5 minutes. Answer a few questions and Dr. Rivas will personally review your case and send you an assessment. The assessment is free and there is no obligation — whether you choose us for your treatment, or not.

If we can help you, we'll also send an invite for a brief consultation over video conference so you can ask questions and get a sense of the communication with Dr. Rivas.

Fields marked with are required.

Let's get started

Thank you, and welcome!
Please, tell us more about your dental needs.

What applies to you?

Additional details

Upload x-rays, imaging or photos (optional)

The more you share the better we can assess your case: x-rays, imaging studies, photographs, or anything you think will help.

Limit: 4MB per file.
Have larger files? Upload them to Dropbox, We Transfer or Google Drive and paste the link in the notes field below or send it to .

Share any other details you think are relevant to your assessment, anything else you'd like to share, or a link to larger files you couldn't attach above.