Standard Informed Consent:
Professional teeth whitening techniques are designed to lighten dark; stained teeth. Clients apply an oxygenating or peroxide type
material using one of the several techniques. While these materials are frequently used for this process and appear safe, infrequent side
effects can occur. Tooth sensitivity or tingling is the most common side effect. Soft tissue irritation can also occur. If a client experiences
these or other adverse symptoms, he/she should stop using the bleaching material, and consult their treating dentist. If the patient has
any known chemical sensitivity or allergic reactions to any ingredients in the product you are purchasing please be sure to inform your
dental professional.
Clients should understand that the amount of whitening and its duration might vary. While most teeth lighten to the extent desired, some
do not. The effectiveness of teeth whitening, or lack thereof, is unique to each client. You should consult your dentist if there is any
reasonable doubt about the suitability of your teeth before commencing a whitening course. In some instances lightening is minimal or
unapparent. In all instances, additional whitening over time may be required to maintain the lightening originally obtained.
By accepting our service and submitting your order, you understand and agree that the user(s):
• Do not have allergies to any of the materials in the whitening product you are purchasing. These materials include, but
limited to, carbamide peroxide, glycerin, carbome, flavor, hydrogen peroxide, ammonium, hydroxide, and silicone.
• Acknowledges Brite Impressions LLC to be an independent marketing company, marketing teeth whitening products.. Customer
agrees to hold Brite Impressions LLC harmless for any damages they may incur as a result of using the advertised product.
• Will properly follow all instructions set forth by Brite Impressions.
• Will use the trays for the sole purpose of whitening your teeth.
• Will not use the product if you are pregnant or nursing until you have consulted with your dentist or doctor.
• Will take the impression yourself.
• Do not have loose or decayed teeth.
• Do not have loose or problematic dental issues.
• Do not have loose crowns or periodontal problems (gum disease).
• Will consult with your dentist prior to use and if you experience any whitening problems.
• Acknowledge that employees/staff of Brite Impressions are not dentists and are not liable for product misuse.
• Agrees that all warranties and returns are the sole determination of the company and that total liability is limited to the amount paid
for the service.
I have read and understand the above description of possible consequences of using professional bleaching techniques. Being fully
informed, I consent to and agree to use these techniques.
Professional teeth whitening techniques are designed to lighten dark; stained teeth. Clients apply an oxygenating or peroxide type
material using one of the several techniques. While these materials are frequently used for this process and appear safe, infrequent side
effects can occur. Tooth sensitivity or tingling is the most common side effect. Soft tissue irritation can also occur. If a client experiences
these or other adverse symptoms, he/she should stop using the bleaching material, and consult their treating dentist. If the patient has
any known chemical sensitivity or allergic reactions to any ingredients in the product you are purchasing please be sure to inform your
dental professional.
Clients should understand that the amount of whitening and its duration might vary. While most teeth lighten to the extent desired, some
do not. The effectiveness of teeth whitening, or lack thereof, is unique to each client. You should consult your dentist if there is any
reasonable doubt about the suitability of your teeth before commencing a whitening course. In some instances lightening is minimal or
unapparent. In all instances, additional whitening over time may be required to maintain the lightening originally obtained.
By accepting our service and submitting your order, you understand and agree that the user(s):
• Do not have allergies to any of the materials in the whitening product you are purchasing. These materials include, but
limited to, carbamide peroxide, glycerin, carbome, flavor, hydrogen peroxide, ammonium, hydroxide, and silicone.
• Acknowledges Brite Impressions LLC to be an independent marketing company, marketing teeth whitening products.. Customer
agrees to hold Brite Impressions LLC harmless for any damages they may incur as a result of using the advertised product.
• Will properly follow all instructions set forth by Brite Impressions.
• Will use the trays for the sole purpose of whitening your teeth.
• Will not use the product if you are pregnant or nursing until you have consulted with your dentist or doctor.
• Will take the impression yourself.
• Do not have loose or decayed teeth.
• Do not have loose or problematic dental issues.
• Do not have loose crowns or periodontal problems (gum disease).
• Will consult with your dentist prior to use and if you experience any whitening problems.
• Acknowledge that employees/staff of Brite Impressions are not dentists and are not liable for product misuse.
• Agrees that all warranties and returns are the sole determination of the company and that total liability is limited to the amount paid
for the service.
I have read and understand the above description of possible consequences of using professional bleaching techniques. Being fully
informed, I consent to and agree to use these techniques.
Brite Impressions
Custom Tray System
EXACT same professional system supplied
by cosmetic dentists. With custom
bleaching trays for upper and lower
teeth, tray storage case and 3 - 10cc
syringes in your choice of 22% or 35%
Professional Whitening gel (30 - 45
applications). Expect results in days - not
weeks. $89.95 ($9.95 Shipping*)
Custom Tray System
EXACT same professional system supplied
by cosmetic dentists. With custom
bleaching trays for upper and lower
teeth, tray storage case and 3 - 10cc
syringes in your choice of 22% or 35%
Professional Whitening gel (30 - 45
applications). Expect results in days - not
weeks. $89.95 ($9.95 Shipping*)
| Brite Impressions Custom Tray System Best Value!! |
Two - Brite Impressions
Custom Tray Systems
Our Brite Impressions Deluxe System
includes TWO of our Custom whitening
systems for 20% OFF!
$143.95 For 2 Custom Systems! ($12.95
Shipping)*
Custom Tray Systems
Our Brite Impressions Deluxe System
includes TWO of our Custom whitening
systems for 20% OFF!
$143.95 For 2 Custom Systems! ($12.95
Shipping)*
| #1 Rated Hi-Intensity Professional Strength Whitening Gel Available in 22% and 35% Strengths Our gel is 40% stronger than most dentists use. |
Whitening Gel Refills
3 - 10cc 22% or 35% syringes of
Professional Whitening gel. The 3
syringes provide 30-45 treatments.
3 syringes - $24.95 ($4.95 Shipping)*
3 - 10cc 22% or 35% syringes of
Professional Whitening gel. The 3
syringes provide 30-45 treatments.
3 syringes - $24.95 ($4.95 Shipping)*
Remineralizing Gel
Revitalize enamel after your teeth
whitening process to replenish
your tooth enamel. A must for
anyone who whitens their teeth.
$7.00 each ($3.95 Shipping)*
Revitalize enamel after your teeth
whitening process to replenish
your tooth enamel. A must for
anyone who whitens their teeth.
$7.00 each ($3.95 Shipping)*
| Our Remineralizing gel restores the minerals which are lost during the bleaching process and helps maintain a healthy tooth enamel. - Allows the enamel to actively remineralize itself. - Strengthens tooth enamel. - Easy to apply. Place in whitening trays and wear for 5 minutes. This is a must have for anyone who uses teeth bleaching systems. |
| Yes you can!! Order through the mail with a Cashier's Check,or Money Order. Please Contact Us for instructions if you wish to pay by mail. *Shipping charge is for orders shipped in the Continental USA only. International customers, please contact us for adjusted shipping costs. |
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| Brite Impressions LLC www.brite-impressions.com Order Securely Online 24 Hours (866) 376-0866 Customer Service Hours Mon.- Fri. 9am to 4pm PST |
YOU SHOULD NOT USE THIS PRODUCT IF YOU ARE PREGNANT, HAVE HEALTH PROBLEMS, PERIODONTAL DISEASE OR GUMS THAT ARE IN POOR
CONDITION, WEAR BRACES, HAD RECENT ORAL SURGERY, DECAYED TEETH, HAVE ROOTS THAT ARE EXPOSED, HAVE COLITIS, OR HAVE JAW
PROBLEMS. The manufacturer and seller (Brite Impressions, LLC) assumes no responsibility for any usage of product. You should consult with a dentist before
attempting at-home treatments and understand that there are risks involved by not doing so. A small percentage of people may experience REVERSIBLE tooth sensitivity
and irritation which disappears when use ends, or by decreasing the amount of time you bleach your teeth each time, or by increasing the amount of time between treatments.
CONDITION, WEAR BRACES, HAD RECENT ORAL SURGERY, DECAYED TEETH, HAVE ROOTS THAT ARE EXPOSED, HAVE COLITIS, OR HAVE JAW
PROBLEMS. The manufacturer and seller (Brite Impressions, LLC) assumes no responsibility for any usage of product. You should consult with a dentist before
attempting at-home treatments and understand that there are risks involved by not doing so. A small percentage of people may experience REVERSIBLE tooth sensitivity
and irritation which disappears when use ends, or by decreasing the amount of time you bleach your teeth each time, or by increasing the amount of time between treatments.
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| Skip the office visit! Receive the materials with complete easy-to-follow instructions to take your own dental impressions at home. Mail them to us in the pre-addressed shipping envelope provided. We will ship your completed custom fitted trays in 7 -10 business days. Dentists typically charge $250 to $400 for the exact same professional whitening trays that are lab produced and custom fitted to your teeth. This system is one of the most effective methods of teeth whitening. |
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| - No need to take time off of work to sit in a dentist's waiting room! - Everything you need for a bright smile shipped directly to your home. - Save $100s |
| - 22% gel concentration is to be applied for 40min. - 1 hour per treatment. - 35% gel concentration is to be applied for 5-10 minutes per treatment. |
