Typodont Patient Clean-Up Form

Please complete the fields below to request removal of typodont images. Requests may take a minimum of one week to complete, as processing times vary based on total number of requests received.

To receive status updates regarding processing time-frames, please check the Track-It! Self-Service portal at ulsdhelp.louisville.edu following submission of this form.

Contact/Typodont Information
Please indicate the type of request:
Request Type
Please indicate the type of request:

Series Details
Desired Completion Date