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Crown Design Form (1)
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Delivery Speed
Standard
Nextday
Sameday (6 H)
Chairside Scheduled
Patient Appointment Information
Date
MM slash DD slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Time Zone
Eastern Standard Time Zone [UTC−05:00]
Central Standard Time Zone [UTC−06:00]
Mountain Standard Time Zone [UTC−07:00]
Pacific Standard Time Zone [UTC−08:00]
Alaska Time Zone [UTC−09:00]
Hawaii‑Aleutian Time Zone [UTC−10:00]
Atlantic Standard Time Zone [UTC−4:00]
Newfoundland Standard Time Zone [UTC−03:30]
Full Arch
Full Upper
Full Lower
Upper
Upper
Lower
Lower
Product Name
Unique ID
(Required)
Facial Data
UPLOAD CASE FILES: Failure to provide the correct scan data will result in placing your design on hold, pending a resolution.
See Data Requirements Guide
Drop files here or
Select files
Accepted file types: stl, obj, ply, dcm, dicom, pdf, png, jpg, dentalcad, dentalproject, constructioninfo, zip, rar, 7z, xml, xyz, Max. file size: 1,000 MB.
UPLOAD CASE FILES: Failure to provide the correct scan data will result in placing your design on hold, pending a resolution. See Data Requirements Guide
UPLOAD CASE FILES: Failure to provide the correct scan data will result in placing your design on hold, pending a resolution.
See Data Requirements Guide
Drop files here or
Select files
Accepted file types: stl, obj, ply, dcm, dicom, pdf, png, jpg, dentalcad, dentalproject, constructioninfo, zip, rar, 7z, xml, xyz, Max. file size: 1,000 MB.
Notes for Designer
Total
