Schedule Your Virtual Cosmetic Consultation

Fill out this form, and we’ll reach out to you as soon as possible to schedule your virtual cosmetic consultation with Dr. Arash Hosseini and the team at Ariata Dental.

You can also call us at 847- 582-4582. We look forward to meeting you soon!

How It Works

Step 1:
Take 8 pictures of your smile from the angles below.

Smiling woman with healthy teeth showcasing cosmetic dental results, representing Ariata Dental's virtual consultations for patients in Gurnee, IL.
Woman with light brown hair and blue eyes, smiling gently, showcasing a healthy smile, representing virtual cosmetic consultations at Ariata Dental in Gurnee, IL.
Profile view of a woman with blonde hair and earrings, showcasing a natural smile, relevant to cosmetic dentistry at Ariata Dental in Gurnee, IL.
Close-up of a smiling mouth showing bright, white teeth, highlighting cosmetic dental care relevant to Ariata Dental's virtual consultations for smile improvement in Gurnee, IL.
Close-up of a bright smile showcasing healthy, white teeth, emphasizing cosmetic dentistry services at Ariata Dental in Gurnee, IL.
Close-up of a healthy smile showcasing bright, white teeth and pink gums, emphasizing cosmetic dentistry and oral health at Ariata Dental in Gurnee, IL.
Close-up of an open mouth showing teeth and tongue, highlighting dental health relevant to cosmetic consultations at Ariata Dental in Gurnee, IL.
Close-up view of a healthy smile showcasing aligned teeth and gums, relevant for cosmetic dentistry consultations at Ariata Dental in Gurnee, IL.

Need help taking photos?

Step 2:
Fill out the form below.

  • This field is for validation purposes and should be left unchanged.
  • Drop files here or
    Max. file size: 128 MB, Max. files: 8.

    Step 3:
    You’re finished! We will assess your photos and will get back to you soon with your treatment plan options.

    VERY IMPORTANT

    When we send you an email, or you send us an email, the information sent is not encrypted. That means a third party may be able to access the information and read it since it is transmitted over the Internet. If you receive an email, someone may be able to access your email account and read it.

    • HIPAA stands for the Health Insurance Portability and Accountability Act
    • HIPAA was passed by the U.S. government in 1996 in order to establish privacy and security protections for health information
    • Information stored on our computers is encrypted.
    • Most popular email services (ex. Hotmail®, Gmail®, Yahoo®) do not utilize encrypted email.
    • Email is a very popular and convenient way to communicate for a lot of people, so in their latest modification to the HIPAA act, the federal government provided guidance on email and HIPAA.
    • The guidelines state that if a patient has been made aware of the risks of unencrypted email, and that same patient provides consent to receive health information via email, then a health entity may send that patient personal medical information via unencrypted email.
    • For more information visit https://www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.pdf.

    By sending a request for virtual consultation with email you are accepting the terms and conditions of utilizing non-encrypted email to communicate health information.