Virtual Consultation - Dr. Steven C. Hewett D.D.S - Fort Walton Beach

Our virtual consultation services are available during regular business hours. This allows you to receive your consultation with Dr. Hewett in a setting comfortable to you while receiving answers to your questions and treatment options available to you.

To schedule your virtual consultation with Dr. Hewett, please fill out the form that is linked below.

Please be advised that by providing this form for you to contact our office(s), we are not confirming an appointment nor establishing a patient relationship. As a user of this mode of communication and of our website, you assume all risks with placing confidential information into this portal. Our office will follow up with you within 24 to 48 hours business hours. This form of communication is not intended for acute, emergency, or life- threatening health conditions. If you believe you are having a health emergency, contact 911 or go to your nearest emergency department.

First Name*
Last Name*
Phone*
Email*
How would you like us to respond?*
- Phone
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Areas of Concern & Procedures You are Considering:*
When are you hoping to have this procedure done?*
What are your expectations & concerns of this procedure?*
Where are you in your decision-making process?*
To make the most of your virtual consultation, please do your best to submit your photographs in the following format. This will allow Dr. Hewett to make the most comprehensive assessment. 1. Use a solid background. 2. Take one frontal photo with the face centered and looking straight. 3. Take at least one, preferably two profile photos File formats accepted: gif | png | jpg | jpeg File size limit: 2mb
File #1
Accepted file types: jpeg, jpg, gif, png, Max. file size: 2 MB.
File #2
Accepted file types: jpeg, jpg, gif, png, Max. file size: 2 MB.
File #3
Accepted file types: jpeg, jpg, gif, png, Max. file size: 2 MB.
File #4
Accepted file types: jpeg, jpg, gif, png, Max. file size: 2 MB.
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Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree.
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