Radiology Report RX Order Form
Please complete the entire form below. All fields indicated by * are required. Report per scan cost $125.
Before you begin, please review the Scan Quality tips. You will also need to have the scan of your patient ready in order to process your case.
Before submitting your case, check that all your scans adhere to the following guidelines:
- Scan field of view: Make sure no part of the desired arch to be treatment planned is cut off, there is no patient movement, and a scan appliance was used.
- Scan resolution: Minimum of 0.3voxel is recommended. The smaller the number, the better (ex: 0.2, 0.1, etc.).
- Scan format: Please send all files in DICOM format.
If you are an existing customer, you can skip this.