Palm Desert Dental Lab Case Scheduling | Implantech Dental Laboratory

This page can be used to pre-schedule cases that are not yet in our office. Our scheduling coordinator will contact you to confirm that your case has been received. All scheduling is done on a case-by-case basis. Rushes can be accommodated by calling us directly.

Doctors Name:	*
Office Phone:	*
Email Address:
Patient Name:
Due Date:
Appointment Time:
Case Type:
Tooth #'s:
Ready for pick-up on:

Is this a New Case?

Yes

Pictures Available?

Yes

Case will include:

Study Model

Bite Registration

Frame Try In

Notes:

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.