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Already a ClearCorrect provider?
Download the forms you need to submit your cases.
English:
How to submit a case
Case submission form
Include this form in the box when you submit a new case.
Fill it out completely to avoid delays.
Case revision form
Use this form to adjust the treatment of an existing case.
A new impression may be required.
Informed consent & agreement
Have your patient read & sign this.
Quality control form
Use this form to report any issues with product quality.
Replacement request form
Use this form to replace a lost or damaged aligner.
IPR tracking chart
Use this chart to record the IPR that you perform on a patient.
Records submission form
Include when resubmitting impressions
Photo composite template
You can use this to help you lay out the photos that you submit with your case.
Or you can email the individual photos to
photos@clearcorrect.com
.
Spanish:
Consentimiento y acuerdo informado
(Informed consent & agreement)
Have your Spanish-speaking patients read & sign this.
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