Welcome! 

Select the appropriate program below to begin.....   

Important:

  • You can save a draft of your work if you would like to finish filling out the form at a later date or to make edits.
  • Be sure to read the instructions for your program to ensure timely submission.
  • Follow-up regarding your submission will be provided to your Heartland email account. Please be sure that you check your emails regularly. 
  • Please reach out to Submittable's Customer Support team with any technical questions at support@submittable.com.

 

Deadlines  1st Case must be submitted no later than April 3rd, 2026 (Extensions have been granted 4/10)

Please allow 7-10 business days for an email response.  Cases will be approved by April 17th and ranked based on the difficulty level from a scale of 1 to 5.

  • 1-3 are automatic approvals
  • 4 requires Clinical Director approval
  • 5 is not approved

Upon approval, final diagnostics must be sent to the lab no later than May 8th.  

Required Documents: The patient requires the following (legible) documents for case approval: 

  1. Patient Health History and Patient Informed Consent Continuing Education Program
  2. FMX or Pano
  3. Diagnosis and Periodontal Health Status
  4. AC Photo Series (10 Photos) 
  5. Aesthetic Evaluation Form

Approval Guidelines: Cases will be approved and ranked based on the difficulty level on a scale of 1 to 5. 

  • (Slight to moderate difficulty) = automatic approvals
  • (Above moderate difficulty) = Clinical Director approval required
  • (High degree of difficulty) = will not be approved 

 

Please allow 7-10 business days for an email response from our Cosmetic Evaluators of the Universe before it's assigned to your mentor doctor for Final Approval!  

 Endo Submission Reminder  

  • 1 of 3 cases submitted must include a molar endo
  • Pre and Post - Xrays are also required
  • Click the link to complete Endo Assessment - 80% Pass Rate is required

 Crown Submission Reminder 

  • 3 Cases must be submitted
  • Pre and Post Xray, Scan, and Intra-Oral Image required
  • Use the following STL file instructions to upload your scan
  • Click the link to complete Crown Assessment- 80% Pass Rate is required

 Invisalign Submission Reminder 

  • Cases started from September 1 - October 31st are only counted as starts
  • 1 completed case must be submitted
  • Pre and Post Photo Series and a Scan of the completed case are required for submission
  • Use the following STL file instructions to upload your scan
  • Use the following PPT template to upload your series - note only 1 image file allowed
  • Click the link to complete Clear Aligner Assessment - 80% Pass Rate is required

 

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