Get Removable Rx - Glidewell Laboratories

Filling out the Removable Rx - Glidewell Laboratories form correctly is essential for ensuring that you receive the accurate dental products you require. This comprehensive guide offers step-by-step instructions to help you complete the form efficiently and accurately.

Follow the steps to accurately complete the Removable Rx form online.

1. Click the ‘Get Form’ button to obtain the Removable Rx - Glidewell Laboratories form and open it in your document handler.
2. Enter the prescribing doctor's name and phone number in the designated fields at the top of the form. Ensure all information is up to date.
3. Fill in the account number and patient’s name fields. This information is vital for accurate processing.
4. Provide the patient's email address or physical address, and specify the desired delivery date by 5 p.m. Make sure this date is realistic based on the processing times.
5. In the ‘Enclosed with case’ section, check all relevant items being submitted with the Rx, such as impressions or models.
6. Indicate the final ceramic shade and present tooth or stump shade in the corresponding areas. This helps with accurate matching.
7. Specify the occlusal staining level, choosing from none, light, medium, or dark. This detail affects the final product’s appearance.
8. Select the pontic design and margin/metal design from the provided options, ensuring that specifications align with the treatment plan.
9. Sign and date the form in the signature and license number fields to validate your prescription. Ensure you comply with any warranty details on the reverse.
10. Once all fields are completed, review the form for accuracy. Save your changes, and decide whether to download, print, or share the completed form for submission.

Complete your Removable Rx - Glidewell Laboratories online to ensure timely processing of your dental needs.