Send a Case

Our user-friendly form makes sending dental cases a breeze, guaranteeing accuracy and convenience throughout the process.

Date

Dentist Name

Dental Clinic Name

Email Address

Phone Number

Appliance: Removable

Special Tray Wax Bite Try-in Re-set CrCo Dentures Valplast

Appliance: Crown & Bridge

E-MAX Zirconia Inlay/Onlay/Veneer Implant/Bar/Attachment All on x PFM

Shade:

If all-on x, explain here (Optional):

Case Instruction Description (Optional):

Preferred due date: (Note: We will contact you if we are unable to make at your preferred date)

How would you send the file? (Note: Our username and emails are next to selection)

3 Shape (Username:....., E-mail:......) Trios Medit iTero Cerec Sirona Google drive / One drive / Dropbox Wetransfer

Note: If you send the file via google drive/ one drive/ dropbox/ wetransfer, please copy and paste the link below.

Upload Rx Lab Sheet:

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