The document appears to be from a dentist, Dr. Madden, showing before and after photos of dental cases to a "roadside" reviewer. Dr. Madden asks the reviewer to compare the photos in the slideshow to current on-site views and provide feedback. If original unaltered photos are needed, the reviewer should call Dr. Madden. One case is noted as not currently being on site. The document also includes labels for evaluating various dental features and treatments.