2. Processing location

Select the number of dental elements where you want to process:

3. Type of implant system (please specify in the note)

4. Desired delivery date

5. Book an appointment with LA Imaging clinical consultant at the following link to google calendar

Before sending the order, check that you have correctly filled out the form in all the mandatory fields, and in the most exhaustive way possible.
If the form is not filled out correctly, the work will not be taken on by the LA Imaging.
Attention: Upon confirmation of the request, a summary of the order will be sent to your email address. You are required to download the medical prescription, sign it and send it by email to info@laimaging.com in order to proceed with the processing of the request.

I am aware that LA Imaging does not perform any clinical review of the project and therefore accepts no responsibility for any temporary or permanent damage caused to the patient as a result of the surgical procedure carried out using the guide fabricated based on my approved project.
Therefore, I release LA Imaging and its employees, consultants, or collaborators from any liability regarding the outcome of the surgical procedure.
I declare that I possess the legal qualifications to develop the treatment plan and I assume full responsibility for the design and use of the surgical guide, which is based on the last approved project.
The case will be manufactured based on the most recently approved project.

Upload DICOM data files and Intraoral scan ( in .STL format)

Date: 05/20/2026