Provider Uploads


Please complete the form below to submit your patient’s prescription information, files and/or scans. Please be sure to hit Submit once you are finished.




Secure Digital Upload
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Maximum upload size: 62.92MB
Maximum upload size: 62.92MB
Maximum upload size: 62.92MB
Maximum upload size: 62.92MB

Drag and drop individual photos from desktop folder to respective tiles.

Maximum upload size: 62.92MB
Maximum upload size: 62.92MB
Maximum upload size: 62.92MB
Maximum upload size: 62.92MB
Maximum upload size: 62.92MB
Digital Scan or Impression Model
Maximum upload size: 62.92MB
We'll be sending you an impression kit including a box with a return label. Please include a bite registration with the impression or models.
Sending

Submit button is disabled. Please complete the Patient Information Form above before submitting this entry.