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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 get the process started. Feel free to also send this form to your dentist so they may upload the scan on your behalf.
You'll receive an automated email as soon as we process your scan, typically within a few days. If you haven't yet had your scan, head back to our MouthPad^ Scanning Portal here.
By the way: Your dental scans are encrypted during transmission and storage. Please see Augmental's Privacy Policy for more information on your data rights and how we protect your scans.

Name of MouthPad^ user

Name of dental office

Your email address

For dentists: Scanner type (optional)

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