ONLINE Rx FORM

We know communication between doctor and laboratory is key. Click on the links below to print out a PDF of our Prescription Forms. Please complete each form as best you can to ensure your specific needs for each case are understood. We want to help you with every patient, so the more details the better.  Pre-printed prescriptions are available by calling or e-mailing our office.

 

General Prescriptions
Implant Prescriptions
 

We use the highest quality manufacturer's components and materials. We will fabricate your choice of cemented or screw-retained, all-ceramic or metal ceramic, CAD/CAM, stock or custom abutment and crown. All we need is your implant-level impression, opposing cast, bite record, shade and Rx.

For a New Doctor Package including prices and schedules, call 1-800-338-5850.