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MouthPad^ Scan Submission

Wahoo! Thank you for getting your MouthPad^ scan — we're excited to build your device! Please fill out this form and upload the scan file from your dentist, and we'll be good to go. Feel free to also send this form to your dentist so they may upload the scan on your behalf.
Note: Your dentist may provide a .zip folder with several files. We would appreciate only the .stl file of the upper jaw (maxillary), if convenient.
If you haven't yet had your scan, please head to our MouthPad^ Scanning Portal for more information on the process.

Name of MouthPad^ user

Name of dental office

Your email address

For dentists: Scanner type (optional)

Upload your scan file! (.stl or .zip)