Upload | Summit Dental AI

Dentist upload portal

Upload before-and-after images for video production.

Use this intake form to submit approved case materials. The practice must confirm patient authorization before uploading any case images.

What to upload

Before photos and after photos in JPG, PNG, or WEBP format
Procedure category such as implants, veneers, Invisalign, TMJ, or airway
Short case summary with the treatment outcome you want highlighted
Only materials authorized by the patient for marketing use

Important compliance reminders

Do not upload unapproved PHI
Confirm written patient authorization before submission
Use internal office review before sending case materials
Have your attorney review your patient release and vendor agreements

Doctor Name *

Practice Name *

Email *

Phone

Social Media Links

Procedure Type *

Package *

Commitment Term *

Before Images *

After Images *

Case Description

I confirm that my practice obtained written patient authorization for the submitted materials to be used for marketing purposes.I confirm that my practice reviewed the submitted materials and is responsible for HIPAA compliance and authorization before upload.I confirm that I reviewed and accept the Summit Dental AI services terms and agreements.