Case Submission Form
GENERAL INFORMATION
CURRENT CONDITION:
INSTRUCTIONS:

 Default options are highlighted in blue

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  • Attach 8 individual photos or a single composite with this filled form as mentioned in the Ensmile Booklet.
      (If you are not sure how to take photographs, contact at provider@ensmile.co.uk)
  • X-rays are also recommended, but optional. However, we accept panoramic (OPG) or full mouth x-rays.
  • 3D Scans or PVS Impression along with bite registration are mandatory for both arches.