Free Pet Dental Assessment Form

Is your pet a cat or dog?

Dog

Cat

Great! Select the breed type

Please select a breed to continue

What is your
dog
’s age?

Type your pet’s actual age

Please select the age to continue

Has your dog had a dental cleaning?

Yes

Select the image that best matches your
dog
’s teeth

Grade 1

Little to no plaque and calculus deposit

Grade 2

Mild Plaque and calculus deposit

Grade 3

Heavy Plaque and calculus deposit covering the teeth extending to the root

Grade 4

Cherry red gums, teeth damage, and entire mouth is cover with heavy plaque and calculus deposit

Grade 1

Little to no plaque and calculus deposit

Grade 2

Mild Plaque and calculus deposit

Grade 3

Heavy Plaque and calculus deposit covering the teeth extending to the root

Grade 4

Cherry red gums, teeth damage, and entire mouth is cover with heavy plaque and calculus deposit

Please select an image to continue

Almost there!
Let’s get to know you!

First Name

Last Name

Pet Name

Your Email

Phone Number

Location

You’re Pawsome!

Now let’s book an appointment. Choose to come to our pet dental spa, or we’ll come to your home!

Keep your pet’s teeth healthy and their kisses fresh with a few clicks.

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Sorry!

We’re unable to determine your pet’s eligibility at this time. We advise you to seek an evaluation with your primary veterinarian to establish a dental care treatment plan. Don’t hesitate to get in touch with us with any questions or concerns.

If you have images you'd like to share with us, you can DM us on Instagram or email smiles@healthysmiles.pet and we'd be happy to take a look!

To learn more about preventative dental care techniques, visit our latest reads!!