Dental Lab RX / Prescription Form

As an extra convenience for our customers, you can download, print and fill-in the RX to include with your lab order. These are the same prescriptions we send when a customer requests shipping supplies.

You'll find our RX forms include plenty of space to write special instructions for each case along with in-lab working times for veneers, all-ceramics, implants, full-cast, CAD/CAM, process & finish and more.

Very complete, the form's reverse side also contains the customer agreement, our payment terms, limitations, etc. -- plus there are even checkboxes to request more RX forms, boxes and mailing labels.

Download and print form (PDF)

• Laboratory Prescription Form

 

Ordering Support: If at anytime you need help filling in prescriptions, or understanding terms, Keating Dental Arts will be pleased to answer all of your questions.

Address: Keating Dental Arts 16881 Hale Ave. Irvine, CA 92606

Main Phone: 1.800.433.9833 Account Managers Arrange Order Pick-up