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On-line Form

On-line form is fast and easy however, you may need to login to our Portal to send large files.

Your 3D Visualisation will be ready within 24 hours.

Upload Upper jaw
Upload Lower jaw

if you want to send us an impression, please contact us to arrange collection

UPPER

LOWRE

UPPER

LOWRE

Upload Photo
Upload Photo
Upload Photo
Upload Photo
Upload Photo
Upload Photo

By submitting this form, you are agreeing to the terms and condition of UKALIGNERS Laboratory

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This form is a prescription for the construction of medical devices as directed by signatory clinician who has sole responsibility for the accuracy of the diagnosis and the prescription. the prescription forms a binding contract for medical devices between the signatory clinician and UKALIGNERS Laboratory.

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the 3D filming required is only a virtual simulation of orthodontic treatment.

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0044-207-387-6590

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