Prescription

New case of invisible orthodontics

Fill out the form to open a new invisible orthodontics case file.​

Formulario de solicitud para nuevo caso clínico
 

IMPORTANT: For a correct diagnosis and case planning, all fields for which information is available must be filled in. Whenever possible, images and X-rays of the patient should be attached. For all diagnoses, it is essential that STL files of both arches (maxillary and mandibular) be attached. 

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USER DATA  (Data collected from your user, not modifiable)
* Required information.
INFORMATION ABOUT THE CLINICAL CASE
PATIENT DATA
DR./DR.'S INFORMATION.
DATOS DEL CASO CLÍNICO
Explain any details to be taken into account regarding the marked parts.
Write any clarifications about space management.
Send us any documents or images that you consider relevant. File names should not contain dots or special characters.
Send us any documents or images that you consider relevant. File names should not contain dots or special characters.
Send us any documents or images that you consider relevant. File names should not contain dots or special characters.
Send us any documents or images that you consider relevant. File names should not contain dots or special characters.
Send us any documents or images that you consider relevant. File names should not contain dots or special characters.
Send us any documents or images that you consider relevant. File names should not contain dots or special characters.
Send us any documents or images that you consider relevant. File names should not contain dots or special characters.
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