Send a Case | PRAXIS MILL

CASE SUBMITTED

Your prescription is in.

Praxis will review it and contact the office if anything is missing.

01 / ACCOUNT & PATIENT

Doctor nameEmailPhonePatient name or IDDoctor assistant name Requested delivery dateSelect a delivery date. The first 3 days are unavailable for production. How should we return the completed case?

02 / CASE TYPE

RUSH CASEContact before productionThis is my first case

03 / RESTORATIONS & FINISH

Select only the teeth Praxis should produce. Example: select teeth 6–11, then choose “Veneer” on those six lines.

NO.TOOTHRESTORATIONMATERIALFINISH

Standard $59 = glaze only. Premium $79 = stain, glaze and stratification.

04 / CASE OPTIONS

Shade guideCase shadeSurface textureTranslucency

05 / FILES & RX NOTES

WeTransfer link

Upload the complete case at wetransfer.com, choose “Get a link,” then paste it here.

Prescription observations / special instructions

06 / PAYMENT

Add new credit cardUse credit card on fileZelle — 786-210-3284

Secure card setup

After submitting the case, Praxis will send a secure payment link. Card numbers are never transmitted by email.

Name on cardBilling ZIP code

I understand that work cannot begin until payment has been processed.

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