Doctor Preferences
Send us your new or updated preferences
Doctor / Office
*
Doctor or Office Name
Office Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
License #
Choose One
New Preferences
Updating Preferences
Preferred Method of Communication
Please provide your preferred method of communication for case questions. Default method is by email.
Email
Phone
Both(Will email first, then call)
Preferred Contact Names, Email Addresses, Phone Numbers, and any Special Instructions.
Preferred Restoration Type
Posterior Crowns
Full Contour Zirconia
Layered Zirconia
PFM
Other
Anterior Crowns
Full Contour Zirconia
Layered Zirconia
PFM
EMAX
Other
PFM Preferences
High Noble
Noble
Non Precious
Lingual Collar
Porcelain Margin (facial)
Other
Contact Preferences
Interproximal Contact
Heavy
Medium
Light
Other
Occlusal Contact
Out of Occlusion
Medium
Light
Other
If Occlusal Space is Needed
Relieve Opposing
Relieve Prep and provide Reduction Coping
Contact for Discussion
Other
Contacts Done on Solid Models
Yes
No
Other
Additional Info
Extra Die Spacer
Occlusal Stain
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