Get Cmc Implant Rx Form - Custom Milling Center

The CMC Implant Rx Form is essential for accurately submitting your custom milling requests. This guide provides step-by-step instructions to help you complete the form online effectively.

Follow the steps to fill out the CMC Implant Rx Form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in the laboratory name, address, city, state, ZIP code, phone number, and email address in the designated fields.
3. Enter the patient’s name and case number in the respective fields, ensuring accurate details for identification.
4. Select the abutment material choice by checking the box next to your preferred material for each tooth number.
5. Indicate the implant brand and platform diameter in the provided fields for precise specifications.
6. Choose the emergence width option based on your needs by checking the appropriate box for contour or anatomical selections.
7. Fill out any special instructions required, including whether a screenshot for design approval is needed.
8. Enter the due date for the request submission and any promo codes applicable to your submission.
9. Finally, provide your signature and date at the end of the form, confirming that the information is correct.

Complete your documents online today for a smooth and efficient processing experience.