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PLACE AN ORDER

Step 1: Please complete the form with your full name, phone number, address, and email.

Step 2: Download the prescription/order form to your device.

Step 3: Upload the completed prescription/order form.

Step 4: Add any additional requirements or notes in the comments section.

Step 5: Upload photos of the patient’s dental condition and any reference images requested by the dentist.

Step 6: Enter the CAPTCHA code.

Step 7: Click Submit to complete your request.