Digital Workflow Submission
Practice Name:
*
Email for Confirmation Receipt:
*
example@example.com
Email Confirmation for Additional Team Members
example@example.com
Patient Name:
*
Are there physical contents going to Integrity Dental Services that are related to this submission?
Yes
No
If "Yes" there are physical contents related to this case, please provide the tracking number so we can confirm all content related to the case.
Tracking Number
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: