Submit a case

Fields marked * are required. Print a copy to include with physical impressions.

Doctor & practice

Doctor name *

Practice phone *

Email *

We email you a submission receipt with your case reference. Patient details stay in the RX, not in email.

Practice address *

Patient

Patient name *

Age

Gender

Male Female Other

Dates

Date sent *

Date wanted (by 5 PM) *

Shades

Body shade

Gingival shade

Stump shade

Tooth numbers

Tooth number(s) — Universal

Digital scans

Drop scan files here

or click to browse — STL, PLY, OBJ, 3MF, DICOM, ZIP, photos, PDF · up to 300 MB each

Scans from a connected scanner arrive automatically (see Scanner Setup) — use this uploader for loose files. Uploaded files attach to this RX when you submit.