Rx form / lab slip
Print the form, fill it in, and put it in the box with every case you send us.
Filling in the Rx form
- Clinic name, dentist name and return address
- Patient name or reference number
- Tooth numbers and the product for each unit (e.g. zirconia crown, PFM bridge, flexible partial)
- Shade, and a shade photo for anterior cases
- Any special instructions: margin type, contacts, occlusion, try-in stage
Not sure which product to choose? Ask us before you ship and we will help.