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  • Ks Fti Dental Lab Fixed Laboratory Work Authorization Form 2017

Get Ks Fti Dental Lab Fixed Laboratory Work Authorization Form 2017-2025

Rx Date: Due Date: Patient: Age: Sex: SHADE INSTRUCTIONS SPECIAL INSTRUCTIONS: Stump (Prep) Shade (Required for All-Ceramic) OCCL STAIN q None q Light* q Medium * Standard unless otherwise specified Final Shade q Dark ALL-CERAMICS q Porcelain Veneer q PFZ Porcelain-Fused-to-Zirconia q Full-Contour ZR q Anterior 600 MPa q CubeX2.

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How to fill out the KS FTI Dental Lab Fixed Laboratory Work Authorization Form online

Filling out the KS FTI Dental Lab Fixed Laboratory Work Authorization Form online can be a straightforward process when you know the steps to take. This guide will provide clear, step-by-step instructions to help you complete the form efficiently and accurately.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the doctor’s name in the designated field. This should include the name of the dental professional who is issuing the authorization.
  3. Next, fill in the Rx Date and Due Date; ensure that the dates are accurate to avoid any processing delays.
  4. Then, complete the Patient section by inputting the patient's full name, age, and sex. These details are essential for record-keeping.
  5. In the Shade Instructions section, specify the stump (prep) shade required for the procedure, particularly for all-ceramic options.
  6. Indicate any special instructions that need to be communicated to the lab. Clear communication is vital to ensure your expectations are met.
  7. Next, specify the type of all-ceramics required by selecting from the provided options, such as Porcelain Veneer or Full-Contour ZR.
  8. For implant specifications, choose the implant type that applies from the list (e.g., Screw Retained or Cement Retained).
  9. In the Porcelain-Fused-to-Metal section, select the alloy type as applicable for the restoration being requested.
  10. Complete the Facial Margins section by selecting one of the options available to ensure proper alignment and aesthetics.
  11. Confirm that you have included crucial documents listed at the bottom of the form, like bite, photos, and pre-op models.
  12. Designate the Pontic Design and Metal Design options selected; these details are key for the lab to understand your requirements.
  13. If applicable, specify the type of Full Cast Restorations required, and make sure to include any additional models or shade confirmations.
  14. Finally, make sure to provide the signature of the dentist and their license number to authenticate the authorization before submission.
  15. Once all sections are filled out, you can save changes, download, print, or share the form as needed.

Complete your dental lab work authorization form online today for a seamless process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232