Upload your CBCT to Canaray

Submit CBCT for a report

Dental Corp customers, please note: Due to ongoing difficulties with fee collection from Dental Corp, all cases that require excessive fee collection effort will incur an administrative charge of $20 per case, in addition to late fees.

Submitter
Recipient of Results
Patient Info
Referral Details
Order Services
Upload CBCT

What is your name?

What is your email?

what is your phone #?

What facility is this?

Dentist Name

Email

Telephone

Patient First Name

Patient Last Name

Date of Birth

Patient Address

Patient Telephone

If you want a report with dental implants in it, please choose "Dental implants" from the referral category, or write "Implant planning for teeth 34-44" in the referral details. Please note that a rush fee will apply if you put a due date of less than 17 days in the referral.

Date of X Rays

Referral Category

Region of Interest

Referral Details

Radiographic report

Measurements

Choose measurements

anterior maxilla anterior mandible 11-17 21-27 31-37 41-47

Rush

Simplant

Simplant Conversion

Maxilla ($90) Mandible ($90) Scan Model ($25/arch) Register STL ($25/arch)

Mail hard copy

Mailing Address

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