Dr. Name Phone # Acct. # Patient Name 8880 NW 20th St. Suite C , FL 33172 8003958205 Fax 8004719762 smithsterling.com mail smithsterling.comFirst LastSee Reverse for Working Times Address/Email.
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How to fill out the Smith Sterling Dental Lab online
Completing the Smith Sterling Dental Lab form online can streamline your dental case submissions. This guide provides detailed, step-by-step instructions to help you navigate the form efficiently and accurately.
Follow the steps to complete the Smith Sterling Dental Lab form online.
- Press the ‘Get Form’ button to access the form and open it in the editor.
- Fill in the Dr. Name section with the first and last name of the dental provider.
- Enter the phone number in the Phone # field for easy communication.
- Provide the account number in the Acct. # field to ensure proper billing.
- Complete the Patient Name section with the first and last name of the patient.
- Locate the address/email section and provide the relevant address or email for correspondence.
- Indicate the desired delivery time by noting 'Deliver by 5 p.m. on' followed by the appropriate date.
- Select the case items enclosed by marking the corresponding checkboxes for Impressions, Models, Bite, Photos, or Other.
- In the specific instructions section, ensure that you send a study model for all work involving anterior teeth.
- Fill in the Tooth No. and Stump Shade, if applicable.
- Specify the Implant System used, if relevant to the case.
- If there is no occlusal clearance, choose the necessary options regarding calls or notes for the doctor.
- Complete the Diameter field and select any options regarding the pontic design.
- Choose the necessary anterior or posterior metal design options as applicable.
- Add your signature at the end of the submission to authorize the content of the form.
- Fill in the license number in the indicated field.
- Review all sections for accuracy and completeness.
- Once all information is reviewed, save the changes, and download, print, or share the completed form as necessary.
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