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  • Denmat Lab Rx Form

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All items in bold, red type are required. If not filled in, case cannot be processed. *Represents default. 1017 West Central Avenue, Lompoc, CA 93436 / 1-800-433-6628 denmat.com Design instructions.

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How to fill out the DenMat Lab RX Form online

Filling out the DenMat Lab RX Form online can streamline the process of submitting your prescriptions for dental restorations. This guide provides step-by-step instructions for each section of the form to ensure clarity and accuracy in your submission.

Follow the steps to complete the DenMat Lab RX Form online.

  1. Click ‘Get Form’ button to retrieve the DenMat Lab RX Form and open it in your preferred editor.
  2. Begin with the customer account number and customer name fields. Ensure that these items are filled in as they are essential for processing the case.
  3. Next, focus on the surface texture section. Select the appropriate options based on the clearance requirements for the case.
  4. Proceed to the occlusal stain section and choose the level of staining present on the restoration, if applicable.
  5. In the case design section, accurately indicate the type of design required, ensuring to provide any specifics for the case.
  6. Fill in the age of the patient and select the delivery timeline from the available service options.
  7. Complete the all-ceramic crown and bridge section by selecting the restoration type and specifying any necessary details.
  8. Provide the incisive edge specifications as per the dentition requirements.
  9. Finalize the margin coping/frame design by selecting appropriate options based on the case requirements.
  10. Include any additional details under the miscellaneous section where applicable.
  11. Upload the required AACD photos and ensure that the patient's information is included.
  12. Review all information carefully before saving changes, and be sure to download, print, or share the completed form as necessary.

Start completing your DenMat Lab RX Form online to ensure prompt processing of your dental prescriptions.

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