Digital Impressions

Doctor's Name(Required)
Patient Name(Required)

YOU MUST CHOOSE ONE (1) HARDWARE AND ONE (1) LINER

Please call with questions BEFORE ordering or an additional charge may be added for error in selection.
TAP Hardware and Liner - Choose One(Required)
Fabricate to meet Medicare requirements?
All TAP appliances (flexTAP pending) are Medicare coded (E0486). TAP 3 appliances can be fabricated to meet Medicare requirements. If you have any questions, please call Airway Labs customer service at (866) 264-7667.
Is this a REWORK or REMAKE?
Leave empty if this does not apply.
Bite Index(Required)

NOTE: Trios 3 Shape or CS Connect-Carestream

If you are submitting a TRIOS 3 shape, Medit, or CS Connect-Carestream scan, email the scans to digital@rdldental.com.

Upload Files

Accepted file types: stl, Max. file size: 256 MB.
Accepted file types: stl, Max. file size: 256 MB.
Accepted file types: stl, Max. file size: 256 MB.
Acknowledgment(Required)

Shipping

Shipping Options
Airway Management will ship UPS Ground unless otherwise specified below.
Patient's appointment date (if scheduled)
Appointment time (if scheduled)
: