Sending Grammetry/PhotoG Files to Doctor
Sender Email
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Name
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Doctor/Recipient Email
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2nd Doctor/Recipient Email
3rd Doctor/Recipient Email
Patient Name
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Screw Type (for Grammetry / Photogrammetry cases)
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Please Select
N/A
Vortex 1.4mm Direct to MUA
Vortex 1.6mm Direct to MUA
DESS 19.018-P10
DESS 19.069
Dan Rosen 1.4mm
Dan Rosen 1.6mm
Dan Rosen 1.72mm
SIN
Other
Case Number (CN)
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Notes
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