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.

Step 1 of 8

12%
    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.

Exit