3D Advantage Referral
If you would like to use our service, please fill out the form in the link below. This form will ensure that we deliver results to the correct address. Once we receive the "New Office Enrollment" form, we will send you our "Price List" via email.
New Office Enrollment
If you would like your office to be billed for services instead of having the patient pay at the time of the scan, you MUST mark the box Payment Responsibility: Doctor on the 3D Advantage Referral. You MUST also fill out the form in the link below. We will charge your credit card for services provided at your request only. Fax this completed form to our secure fax line at 949-382-1442.
Credit Card Authorization
If you or your patient has previously had a scan with our company and would like to request a copy or additional work up on a different area, please fill out the form in the link below. We will provide you with an email, disk or printed images. (There may be an additional charge for these services. If there are additional charges, we will email you with a quote before starting the work).
Request for Copy of Previous Dental Scan
Let 3D Advantage, LLC be your service provider using our Mercedes Benz fleet of sprinter vans.