Bücco - Ortho guide
Refer a patient in orthodontics

Refer a patient in orthodontics



Patient information

This address will be used to send you a confirmation of receipt and / or consultation report.

Treatment required

Additional Information


Patient communication

Imagerie: (3 maximum)

Format Jpg, pdf, txt, maximum 10 mega-bytes each

You are not digital? Nothing more simple, take a picture of your x-ray with a smartphone and send it to your email. Then download this image on your computer. From this form, select that image. Repeat this process for all your X-rays and photos.

Fields marked with an asterisk (*) are required.