SOTA Dental Patient Form | January 2019

Please fill out the form below and upload files related to your case. This is not scheduling an appointment or a commitment of any kind. This is a required step for all local & international patients.

Our doctors & patient managers review questions and new cases after 5pm each business day. All of your information is confidential and only shared with our doctors and patient managers.

Step 1 of 6

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    If you do not have a treatment plan or x-rays, we require smartphone images of your mouth. These are best taken in bright light, and with the help of someone else (or a mirror). Due to the volume of inquiries we receive, our doctors require either smartphone photos or x-rays before discussing new cases.

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