Membership Sign Up | Elevate Smiles Dental

Your Plan

Your Info

Family

Review

Choose Your Plan

Select the membership that works best for you.

Monthly Annual Save ~17%

Most Popular

Wellness

$365/yr

just $1 a day

2 exams/yr
2 cleanings/yr
Full X-rays
1 emergency exam
Whitening kit
20% off treatments

Perio

$60/mo

or $712/yr — save $8

2 exams/yr
4 perio cleanings/yr
Full X-rays
1 emergency exam
20% off treatments

Student

$250/yr

Annual only

2 exams/yr
2 cleanings/yr
Full X-rays
10% off treatments

Step 1 of 4

Primary Member

First Name * Please enter your first name.

Last Name * Please enter your last name.

Date of Birth * Please enter your date of birth.

Phone * Please enter a valid phone number.

Email Address * Please enter a valid email address.

Home Address

Street Address * Please enter your street address.

City * Required.

State * Required.

ZIP * Required.

How did you hear about us?

Step 2 of 4

Add family members to your primary membership and save. Additional adults receive the Wellness plan at a reduced annual rate. Children must be enrolled with an adult member.

Additional Adult

$250/yr per person · Wellness plan benefits

Children (under 18)

$100/yr per child · Requires adult membership

Step 3 of 4

Plan Details

Plan—

Billing—

Plan Cost—

Your Information

Name—

Date of Birth—

Phone—

Email—

Address—

Family Add-ons

MembersNone added

Estimated Total

—

I agree to the Terms of Service and Privacy Policy. I understand this enrolls me in the Elevate Smiles Dental Wellness Membership Plan and that a team member will reach out to complete payment setup.

Please accept the terms to continue.

Step 4 of 4

You're On Your Way!

Thanks, there! We've received your membership application. Our team will reach out within 1 business day to complete your enrollment and get you all set up. Welcome to the Elevate Smiles family! 🎉

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You're On Your Way!