Uploading files

Please take a moment to fill out the form and upload all relevant files necessary for your case. Please send Upper, Lower, Bite, and Preop, as well as any related Scans that may be pertinent.
Additionally, we kindly ask you to describe in detail what you are looking to have made. If you have any questions or need further assistance, please email us.
info@desertandcrown.com
480-692-0871

Patients Name

First Name

Last Name

Practice Name

If you have multiple practices, please complete another form or indicate in the message area where to send the cases.

Subject

Checkbox

Please select What Material you are needing.

Zirconia Mono

Zirconia Multi Layer

Full Cast Metals (describe in message)

Other (please describe in message)

Design service ONLY (add a description n message of what you are needing)

Message