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Paid Online Pre-Check Form
Only paid requests are reviewed. After payment, submit this short form — we reply within 24 hours.
What to upload (if you have it)
Mouth photos (front + left + right) and a panoramic X-ray (PDF/JPG) if available. If you don’t have any files, just describe your complaint.
What you will receive
A dentist review summary with recommended treatment options and next steps, sent to your email.
Note: This is a remote pre-evaluation and does not replace an in-person dental examination. In urgent cases (severe pain, swelling, fever), please seek immediate care.
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