Clients of Esthetics by Design may request a treatment planning or other type of case consultation with Drs. Winter or Kinzer.
All case consultations must be prescheduled with Client Services. This service is available free of charge to those clients who have previously submitted cases to the laboratory. If the case to be discussed is your first with Esthetics by Design and it has not yet been received by the lab, a $250 deposit will be required which will be applied to your case invoice once it is received by the laboratory. Depending on the type of consultation requested, a checklist of required documentation and the deadlines for submission will be sent to the requesting dentist.
The following forms are required for your first case:
Choose the appropriate forms for your case submission:
Subsequent cases require the appropriate prescription form and all other required documentation. If you are unsure which prescription form to use, please contact Client Services.
Clients are encouraged to use the online HIPPA compliant portal for Rx and photo submission.
Access Portal
Physical Impression:
Digital Impression:
Optional: