Complete the below form with patient information. We will contact them directly to schedule an appointment.








Disclosure:
Dear Dental Professional,
Please be aware that the only service we provide to your patients is an acquisition of a CTCB, following your order/prescription. We do not have a dentist on site to modify the prescription, or to interpret the images obtained. We are charging your patient only for the technical process of acquiring an image. Reading the image is your responsibility as the prescribing doctor.