First class quality since 1991
Please, 1st download the fillable Rx Sheet, then fill out.
(Signature line does not work with Google Chrome.)
Digitally printed models
If you're using an Itero scanner, you can submit
scans directly through your scanner software.
Select Pilot Orthodontics as your favorite lab.
Itero ID #26766
You can also submit digital files and your Rx through our
File Upload Form on this page, share your Dropbox files, or
email your Rx and links to your Cloud-based scans directly to:
Please be sure to provide patient and doctor's names
for us to identify your digital scans!
Note: Due to the nature of bite registrations, for accuracy please mail them in a sturdy envelope with a Business Reply Label attached.
(You can download a label on our forms page.)
For appliances requiring soldering, we
will need a stone model. If not provided
by your office, there will be a charge to duplicate your 3D model in gypsum.
Upload Rx and digital files here.