Dr. Jeremy Manuele Doctor Referral

Schedule a Doctor Coaching Session with Dr. Manuele

Dr. Jeremy Manuele offers expert, fee-for-service coaching sessions for doctors looking to enhance their understanding of maxillary skeletal expansion. Whether you need guidance on case selection, treatment planning, or troubleshooting complications, you can receive a personalized analysis and mentorship—all from anywhere in the world.

Doctor Coaching Session Submission Requirements

To ensure a productive and detailed coaching session, please provide the following documents and images related to your case.

Required for Submission:
- Case Details & Treatment Goals – Share your clinical objectives and any specific concerns.
- Patient’s Dental & Medical History – Provide relevant background information.
- Clear Photos of the Patient’s Face & Intraoral Views – [View video instructions].
- CBCT Imaging (DICOM File) – Upload the full scan (.dcm format) for review.
Note:

Coaching sessions include the analysis of one CBCT scan. If additional scans are submitted for comparison, please select this option at checkout.

Referral Information
Doctor Name*

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Practice Name
Practice Address*

Street Address

Apartment / Suite (if applicable)

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Email Address*
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Phone Number*
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Required Uploads
- Patient Intake Form – Ensure all sections are completed.
- Dental & Medical History – Provide any relevant details affecting treatment.
- Clear Photos of the patient’s face and inside the mouth – [View video instructions].
- CBCT Imaging (DICOM File) – Upload the full scan (.dcm format) for review.
Note: This consultation includes the analysis of one CBCT scan. If additional CBCT images are uploaded for comparison, this must be selected at checkout.
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Billing Information
By submitting your case details and processing your payment, you acknowledge and agree that all coaching sessions, including pre-recorded video case reviews and live Q&A add-ons, are for educational and informational purposes only. For full details, please refer to the service descriptions:
- Doctor Coaching Session Terms & Disclaimer
- 15-Minute Live Q/A Coaching Terms & Disclaimer
It is the responsibility of the treating doctor to apply clinical judgment and patient-specific considerations when implementing discussed strategies.

Select the Coaching Package(s) that works best for you:*

Pre-Recorded Video Case ReviewDetailed analysis and insights on your submitted case

$250.00

Add-on: Live Q&A with Dr. Manuele15-minute live session to discuss your case in real time (Pre-Recorded Video Case Review Required)

$250.00

Add-on: Additional CBCT Scans for ComparisonYour coaching session includes the review of one CBCT scan. If you’d like a comparative analysis of multiple scans to track changes over time, select the quantity needed for a comprehensive review.

$100.00 Quantity

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Total

$0.00

Payment Methods

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Schedule a Doctor Coaching Session with Dr. Manuele

Doctor Coaching Session Submission Requirements

Referral Information

Required Uploads

Billing Information

Payment Methods

Confirmation