The order form below which can be downloaded indicates the prices of our services. So all you have to do after printing it is to fill it out, sign it and send it together with your attachments.

For administrative reasons, we do not handle orders received with no order form or without the practitioner’s signature or surgery’s stamp.

If you have any questions concerning the sending of your order, go into the tab marked FAQ.

paYment Ortho-Clean

Use our contact page indicating your invoice number to receive a Paypal Payment Request.

Print out the form below to pay your invoice with a credit card, fill it and send it by fax to
+ 33 5 56 31 58 67
or by mail at :
Laboratoire Ortho-Clean
5 Impasse Jeanne d'Arc