Get Orthodontic Laboratory Rx - Accutech Orthodontic Labs

Completing the Orthodontic Laboratory Rx - Accutech Orthodontic Labs form online can be a straightforward process when you have the right guidance. This comprehensive guide will walk you through each section of the form, ensuring that all necessary details are filled accurately to facilitate your order.

Follow the steps to complete the form effectively

1. Click ‘Get Form’ button to obtain the form and open it in the designated form editor.
2. Fill in the patient’s name in the designated fields, ensuring accuracy for both first and last names. Enter the date when the form is sent.
3. Specify the return date for the order, which indicates when the items should be sent back.
4. Provide the name and address of the referring doctor, including city, state, and zip code. This ensures that the order is processed correctly.
5. Indicate the quantity of lab supplies needed by writing the numbers next to each request. Ensure that the requested items are clearly marked.
6. Fill in the doctor's phone number and provide a signature along with the doctor’s license number.
7. Choose the specific types of retainers, appliances, or supplies required by checking the appropriate boxes. Make sure to provide any specifications for custom orders.
8. If there are additional instructions or special requests, document them in the 'Special Instructions' section. This ensures that your specific needs are met.
9. Review all filled-out sections for completeness and accuracy before finalizing the order.
10. Once all sections are complete, you can save changes, download a copy, print the form for records, or share it as needed.

Start completing your Orthodontic Laboratory Rx online today to streamline your ordering process.