Get Splint Rx - Aoa Access

Filling out the SPLINT Rx - AOA Access form online is a straightforward process that helps streamline prescriptions for dental splints. This guide provides step-by-step instructions to ensure that users can complete the form with ease and accuracy.

Follow the steps to complete the SPLINT Rx - AOA Access form online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the doctor's information in the designated fields, including the doctor's name and account number.
3. Fill in the patient's details, including their name, address, city, state, zip code, and phone number.
4. Select the type of splint required, such as flat plane occlusal splint or retention splint, and check the appropriate boxes.
5. Provide bite registration instructions as checked and approved by the doctor. If there are questions, consider including a note to call the doctor.
6. Indicate the required models (upper and lower) and any necessary construction wax bites using the form's checkboxes.
7. Include special instructions, if any, in the designated section to ensure specific requirements are met.
8. Mark any required additional materials or shipping preferences in the provided fields for clarity.
9. Review all entered information for accuracy before finalizing the document.
10. Once completed, utilize the options to save changes, download, print, or share the form as needed.

Complete your SPLINT Rx - AOA Access form online today for efficient processing.