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Lead Capture Widget

Turn Website Visitors Into Virtual Consult Requests.

Most cosmetic shoppers browse your site and leave without calling. The Smile Virtual widget sits on every page and invites them to share smile photos and goals right there, so they arrive in your Smile Virtual inbox ready for a personal video instead of disappearing.

Smile Virtual lead capture widget embedded on a practice website, previewing concern chips, two patient photos, and a SEND TO DR PATEL CTA.

What We Hear From Dentists

Your Website Gets the Visit. Your Contact Form Loses the Patient.

A cosmetic shopper lands on your veneers page at 10 p.m. They want to know one thing: what would this look like for me, and what would it cost? A generic “request an appointment” form doesn't answer that, so they close the tab and keep shopping. The widget gives them a reason to reach out right now, on their terms.

Cosmetic research happens in the evening and on weekends, when nobody is there to pick up the phone.

No photos, no goals, no context. Your team starts every follow-up from zero.

What would this look like for me, and what would it cost?

The widget turns that question into a submitted consult request, with everything your team needs to answer it.

How It Works

From Page View to Consult Request in Three Steps.

The widget captures the lead where the interest starts, on your website, and hands it straight to Smile Virtual.

#1

Visitor Opens the Widget

A branded button on your site invites visitors to get a free personal video consult. One tap opens the widget, no new tab, no redirect.

#2

They Share Photos & Goals

The patient picks what they'd like to change, uploads three smile photos from their phone, and leaves their contact info. It takes a few minutes.

#3

You Reply With a Video

The request lands in Smile Virtual with everything attached. Your team records a personal video consult and the patient books when they're ready.

Where the Widget Lives

A Lead You Can Actually Answer.

Every widget submission arrives complete: who they are, what they want to change, and photos of their smile. Your team can record a video consult without a single back-and-forth.

Homepage

A floating button that follows visitors as they scroll, always one tap away.

Cosmetic Service Pages

Veneers, whitening, Invisalign and implants pages, where intent is highest.

Before & After Gallery

Right after “I want that,” give them a way to ask what it would take for them.

Ad Landing Pages

Paid traffic gets a clear next step instead of a phone number they won't call.

Blog Posts

Readers researching “how much do veneers cost” can ask you directly.

Built for Mobile

Photos come straight from the phone camera, so the whole request happens in one place.

Your Website Gets the Visit. Your Contact Form Loses the Patient.

A cosmetic shopper lands on your veneers page at 10 p.m. They want to know one thing: what would this look like for me, and what would it cost? A generic “request an appointment” form doesn't answer that, so they close the tab and keep shopping. The widget gives them a reason to reach out right now, on their terms.

What You Get

What Changes In Your Practice.

+30% Conversions

Catch Shoppers Before They Leave

A specific, low-pressure offer converts visitors who would never fill out a generic appointment form.

Zero Guesswork

Know the Case Before You Reply

Photos and goals come with every request, so your team can prioritize high-value cases and answer with confidence.

Fewer Callbacks

No More Chasing Callbacks

Leads arrive ready for a video reply. No voicemails to return, no intake questions to repeat.

On-Brand

Looks Like Part of Your Practice

Set your colors, button text, and doctor photo so the widget feels native to your website.

FAQs

Lead Capture Widget FAQ

What is the Smile Virtual lead capture widget?
It's an always-on invitation that lives on your practice website. Instead of a generic contact form, visitors get a clear, specific offer: upload a few smile photos and a quick note on what they'd like to change, and you reply with a personal video consult. It's the difference between a lead you wonder about and a lead you can actually answer.
How do I install the widget on my website?
Paste one snippet of code into your site, or send it to your web team. Your Success Coach can also install it for you. Average install time is about 15 minutes, and it works with WordPress, Squarespace, Webflow, Wix, Shopify, and custom builds.
Which pages should I put the widget on?
Start on your homepage, your cosmetic service pages (veneers, whitening, Invisalign, implants), your before-and-after gallery, and your paid ad landing pages. Those are the pages where intent is highest. You can add it to blog posts later if you publish patient-education content.
What information does the patient share?
Three smile photos from their phone, a few chips describing what they'd like to change (color, straightness, shape, gaps, etc.), and their contact info. That's enough context for a doctor to record a real video consult without a single back-and-forth.
Can I customize the widget to match my brand?
Yes. Set your colors, your doctor photo, the button text, the headline, and the service areas it asks about. The widget should feel like a native part of your site, not a pop-up from a third-party tool.
Is the widget HIPAA-compliant?
Yes. Patient photos and conversations are encrypted in transit and at rest, a BAA is included with your Smile Virtual subscription, and compliance is handled at the platform level, so it's not another thing on your team's plate.
How does Smile Virtual integrate with my practice management system?
Smile Virtual sits in front of your PMS and hands off booked patients. Official integrations are available for Dentrix, Eaglesoft, Open Dental, Curve, and Denticon. Your Success Coach configures the handoff during onboarding.
What does the Smile Virtual platform cost?
Plans start at $399 per month with unlimited consultations, the lead capture widget, and every platform feature included. No long-term contract required. See the pricing page for the full breakdown.