yasmile
ya!smile Clear Retainer – Lab Order

Select Clinic

Prescription Form

Submission Instruction Form

Choose type of Retainers

Upload aligner damage photo (wear / tear / breakage)

Aligner Removed?

Quantity

Other Instructions

Movement per Stage

Arch Usage

Number of Arches

Shipping Address

STL口掃檔

Upload STL Intraoral Scan File

(For 3Shape / Shining 3D / iTero integration, please contact the ya!smile team for assistance.)

email (service-ys@ya-smile.com)

Patient Name or Order ID used during scan

Upper

Lower

Bite-1

Bite-2

Upload Intraoral/Extraoral Photos, PANO, CEPH

Upload Intraoral &Extraoral Photos/Panoramic X-ray

PANO／CEPH

Intraoral / Extraoral Photos
Intraoral / Extraoral Photos(Upload as compressed file)

10 %