UMN Dental Clinic

If you are sending a CBCT scan to the Dental Clinics, please refer to the CBCT Scan Export Instructions to ensure that your files are in the correct format for upload. If you encounter any difficulties uploading your files, please don't hesitate to ask for assistance.

Provider Information

Provider's First Name Provider's Last Name Provider's Email Provider's Clinic Name Clinic's Mailing Address

Clinic's Phone Number

Patient Information

Patient's First Name Patient's Last Name Patient's Date of Birth Patient's Sex Patient's Mailing Address

Patient's Phone Number

Comments

Attachments

Images

If you would like to include images for our staff to review please click the choose file button and select the image file. Then enter the date the image was taken. Finally click the blue 'Add' button. If your image was sucessfully added it will appear in the table below.

Image Name	Date Taken
None added

Documents