Get the free EZ Crown Order Form Crown - Chimney King LLC
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Crown EZ Crown Order Form 1) Crown Style: Style Number Style Name 2) Chase Top Size: Width Rev. 1.00 11/2012 3) Pan Size: Length Width Length Edge Collar Ht # of Holes Vented yes no 4) Crown Size:
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How to fill out ez crown order form
How to fill out ez crown order form:
01
Start by gathering all the necessary information before filling out the form. This includes the patient's name, contact information, and any relevant dental records.
02
Begin by providing the details regarding the type of crown needed. Specify the material (such as metal or porcelain), color preference, and any specific instructions from the dentist.
03
Fill out the patient's personal information section, including their full name, address, phone number, and email address. Ensure that all the details are accurate to avoid any communication issues in the future.
04
In the "To Be Completed by Dentist" section, your dentist needs to provide information about the tooth requiring the crown. This includes the tooth number, the reason for the crown (such as decay or damage), and any additional notes or specifications.
05
If there are any specific time constraints or deadlines for the crown order, make sure to clearly indicate this in the appropriate section of the form.
Who needs the ez crown order form:
01
Dentists: Ez crown order forms are primarily used by dentists who require crowns for their patients. It helps streamline the ordering process and ensures accurate communication between the dental office and the dental lab.
02
Dental Labs: Dental laboratories utilize ez crown order forms to receive detailed information on the type of crown required, ensuring optimum customization and accuracy in the final product.
03
Patients: While patients might not directly fill out the ez crown order form, they are beneficiaries of it. The form allows dentists to provide precise instructions to dental labs, resulting in customized crowns that meet the patient's specific needs and preferences.
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