Register on Smile Assist


Personal Data

Thank you for registering with Smile Assist. Please fill out the form below to get started. All information entered is protected by an encrypted SSL 256 bit connect.

First Name

Middle Name

Last Name

Email

Phone

Login Information

Username

Password

Repeat Password

Coupon code

If you have a promotional coupon code, please enter it here:

Credit Card Information

I would like to pay via PayPal™

Credit Card Number

Expiration Date (MM/YY)

CID

Credit Card Billing Address

Cardholder First Name

Cardholder Last Name

Address 1

Address 2

City

State

Country

Zip Code

Account Information (optional)

The following information will be used by our consultants when accessing cases online.

Invisalign

You can link your Invisalign account with SmileAssist after you register.

Insignia

Username

Password

SureSmile

Username

Password

Spark

Username

Password

Terms and Conditions

All virtual setup modifications and recommendations are the professional opinion of the individual consultant based on the information provided and the treatment plan devices by the treating doctor. Any and all changes to a virtual set-up are simply that, a recommendation.

I agree to review and accept the final virtual set-up based upon my knowledge, expertise and clinical abilities. I understand that I have the option to further modify the set-up provided by the individual consultant. The individual consultant and Smile Assist, LLC make no guarantees as to the final result that may be achieved.

I understand and agree to the above conditions; and I accept full responsibility for any and all consequences to treatment rendered by me. Further, I agree to hold harmless Smile Assist, LLC and the individual consultant whose recommendations I have requested.

Clinical outcomes may vary due to clinical procedures, case management and patient compliance.

I agree to the terms and conditions

Privacy: we will not sell or share your information with any third party organizations.



About Smile Assist

Smile Assist was the brainchild of Dr. Dave Paquette and Dr. Clark Colville. After years of lecturing worldwide and receiving hundreds of email requests for assistance with various types treatment plans, we realized that the internet is the perfect portal to provide assistance to doctors worldwide.


Meet our consultants

Register Today!

Whether you need help with one patient or plan on using a Smile Assist consultant for every patient, register now to give your practice the Smile Assist advantage. 


 Register for Free!