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SUBMIT NEW BRACKETS

Step 1. Download the fillable PDF below and complete the form.

Download

Step 2. Fill out the form and upload the completed pdf document at the bottom.

    Please Note: Fill out the information on the forms according to your knowledge. (ie. If you aren't shipping finishing wires for your doctor, only fill out the primary bracket part number page on the fillable pdf. The same goes for the inverted brackets; if you are unsure if your doctor will be inverting brackets, leave that page blank.

    Please check your email for information about shipping brackets and finishing wires to DIBS AI.

    Contact Support:
    801-763-5039
    support@dibsai.com

    *Please fill in personal information