SOTA Dental Patient Form • SOTA Dental Mexico

SOTA Dental Patient Form 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.

Choose which file(s) you will be uploading along with your form.*
- Smartphone images of mouth & smile
- X-rays or CT scan images
- Treatment plan from your dentist
If you do not have a treatment plan or x-rays, we ask for 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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Email Address (for private information)*
Please provide your email address for receiving medical information. SOTA Dental uses email to send private information related to your case. Please supply an email address that you feel comfortable receiving dental information with.
Enter Email Confirm Email

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Upload : X-rays, panoramics, & ct scans
Drop files here or
Upload : Treatment plan from dentist
Drop files here or
Upload : Smartphone photos of mouth & smile
Drop files here or

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Do you have any allergies?
Do you have active gum disease?
Have you had any recent surgeries?
Do you take blood thinners?
Do you have osteoporosis?
If you answered yes to any of the questions above, please explain in detail.

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Do you drink alcohol?
If yes, how often do you drink?
Do you smoke?
If yes, do you intend to quit?
Have you smoked in the last 5 years?
If yes, how long did you smoke?

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Are you specifically interested in the USA Made NanoCeramic™ All-on-X Treatment?
Do you request Ozone, IV Vitamin C, or metal free dentistry?
Have you traveled to Mexico before?
Are you looking to get an appointment this month?
What date (roughly) are you interested in?
Date Format: MM slash DD slash YYYY
If you have a limited travel window, please explain your situation here.
Will you need transportation assistance from the airport, hotel, or border?
If yes, please explain.

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Do you have any specific questions?

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Receive our All-on-4 in Mexico Survival Guide

Our free All-on-4 in Mexico Guide is written from an insider's perspective & holds nothing back. This guide is essential for any patient thinking about traveling to Mexico for dental work. Access link is sent immediately to your email address. Please check your promotions folder in your inbox.

SOTA Dental full price list.

Receive the monthly updated SOTA Dental price list .PDF file. Just input your email address below, and it will be sent to you immediately. This includes monthly deals & specials as well. Be sure to check your promotions folder within your inbox!

SOTA Dental Patient Form 2019

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