Account Services

 

 

 

INFO-KIT & MAILING MATERIALS

To receive an Info-Kit that includes a large box, order forms and UPS shipping labels, call us at 800-423-3270 or go to www.ApplianceTherapy.com/SO/Request.

TO SEND YOUR ORDER

ONLINE

Go to www.ApplianceTherapy.com/SO/Submit
 
NOTE: Depending upon the type of service that is requested, upper and lower working models may need to be submitted in the mail.

MAIL

Forms

Fill-out a Patient Profile form to select the desired service. If the Appliance Review Letter  or Orthodontic Diagnostic Service is requested, a Doctor’s Profile form must also be submitted. To obtain these forms:
 
Option #1 – Click here to Print the forms.
Option #2 – Call 800.423.3270 to have the forms faxed to your office.

Records

Prepare the necessary patient records for the type of service that has been selected. If models and a wax bite are to be sent, send white models (preferred) and wrap the models and wax bite separately and carefully so as to avoid breakage. If wet alginate impressions are to be sent, seal them in a plastic bag along with a moist paper towel to prevent the impressions from drying out.

Ship

Send the form(s) and patient records to our office. We recommend shipping your package with UPS so you can track, locate and verify the arrival of your package to our office. We can provide you with UPS shipping labels. To avoid delays and to expedite your order, please ship all records in one package.

OUR PROCESS

How the Appliance Review Letter and Orthodontic Diagnostic Service requests are processed:

Based on the records, Doctor’s Profile, Patient Profile and the type of evaluation that has been requested for that specific patient, Dr. Rob Veis will complete a comprehensive diagnosis. If we need further information to complete the evaluation or if there is a concern with the case, the Second Opinion staff will contact your office.
 
The diagnosis, in the form of a Printed or Digital Report, and all of your records (models, wax-bite, cephalometric x-ray, photos, panorex, etc.) are then returned to the doctor’s office.
 
NOTE: If desired, the appliance(s) can be fabricated upon the completion of the report.
 
Doctor reviews the completed report. The treatment plan is then presented to the patient.
 
If the doctor decides to go ahead with treatment and appliance fabrication, new patient models are sent to Space Maintainers Laboratory along with a Construction Bite (if applicable), the appliance voucher, and the signed Rx slip.



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