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5420 Kietzke Ln, Ste 205 Reno, NV 89511 www.nsequence.com Office: (775) 8276645 Fax: (775) 8276650 Due Date: (required) By Noon RX Date: Implant RX See back for lab times Special Instructions Call.

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How to fill out the Lab Slip-Implant.doc online

Filling out the Lab Slip-Implant.doc correctly is essential for ensuring timely and accurate processing of your dental implant requests. This guide will provide you with clear, step-by-step instructions to help you navigate the form online, ensuring you include all required information.

Follow the steps to complete the Lab Slip-Implant.doc online.

  1. Press the ‘Get Form’ button to retrieve the Lab Slip-Implant.doc and open it in your preferred online editing tool.
  2. Begin by filling in the 'Due Date' field, indicating the date by which you need the lab results. This is a required field and must be completed.
  3. Next, enter the 'RX Date' to specify when the prescription was written.
  4. In the 'Implant RX' section, include any specific implant-related details required for processing.
  5. Under 'Special Instructions', provide any additional details that may assist the lab in processing your request efficiently.
  6. Fill in the prescribing practitioner’s information, including their signature, license number, and phone number.
  7. Complete the patient information section, detailing the last name, first name, age, and gender.
  8. Identify the surgical specialist's name to ensure proper routing and handling of the case.
  9. Choose a payment method from the available options (Visa, MasterCard, American Express, or Invoice), and provide your card details if applicable.
  10. Specify what materials you are including with the case, such as full arch impression, bite registration, or shades/photos.
  11. In the 'Case Directions' section, outline the diagnostic requirements and restoration details.
  12. Fill out the 'Ship To' section only if you are sending the item to a different address than the prescribing practitioner's.
  13. Provide the details for each implant, including its type, platform, diameter, and any additional specifications.
  14. Finally, review all sections for completeness, then save your changes, download the document as needed, and share it with the relevant parties.

Complete your Lab Slip-Implant.doc online today to ensure prompt processing of your dental cases.

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Laboratory prescription" means a written description, dated and signed by a dentist, of dental laboratory technology to be performed by a dental laboratory technician; 25. Laboratory prescription forms shall be stored in the clear plastic pockets.

The prescription form must include the name and signature of the dentist, contact information of the dentist, name of the patient, and type of prosthesis, as well as clear instructions of all of components of the prosthesis.

Prescription forms must be complete to allow the laboratory technician to accurately fabricate the prosthesis to the desires of the dentist.

Lab slips are utilized with Lab Cases. Lab slips are typically customized by scanning the slip provided by a specific dental lab and using it as a background Static Image. Other required elements can be placed on top, such as instructions, due date, and license number. Lab slips support Electronic Signatures.

Dental laboratory technicians use impressions or molds of a patient's teeth to create crowns, bridges, dentures, and other dental appliances. They work closely with dentists but have limited contact with patients.

DLT stands for Dental Laboratory Technician.

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