Digital Workflow Submission
Practice Name:
*
Email for Confirmation Receipt:
*
example@example.com
Email Confirmation for Additional Team Members
example@example.com
Patient Name:
*
Lab Instructions:
*
Additional Files: Like Case Photos, Digital Impression Scans, and Supporting Documents if Necessary
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: