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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 denmat lab rx form

How to Fill Out DenMat Lab Rx Form:
01
Start by obtaining the DenMat Lab Rx form. You can either download it from the official DenMat website or request it from your dental lab or dental supplier.
02
Begin filling out the top section of the form, which usually includes your office information. Provide your practice name, address, phone number, and any other requested details.
03
Next, fill in the patient's information. Include the patient's name, date of birth, contact information, and any specific identification or account numbers provided by your office.
04
Specify the treating doctor and the doctor's contact information. This step is essential for clear communication between the dental office and the lab.
05
Indicate the desired date of delivery for the completed case. Provide any urgency or special considerations if applicable.
06
Describe the desired procedure or appliance to be fabricated by the dental lab. This may include details such as the type of restoration (crown, bridge, partial denture, etc.), material preferences, shade selection, and any additional instructions or specifications.
07
If necessary, include any relevant diagnostic information. This may involve attaching radiographs, photographs, or impressions to the form. Ensure these attachments are labeled clearly for easy identification.
08
Specify any additional services required from the lab, such as custom staining or special processing instructions.
09
Confirm the desired method of case pickup or delivery. This could involve choosing a shipping method or indicating if the case will be picked up directly from the dental lab.
10
Finally, sign and date the form, confirming your agreement with the provided information and terms.
Who Needs DenMat Lab Rx Form:
The DenMat Lab Rx form is typically required by dental practitioners who require the services of a dental laboratory for various procedures. This can include general dentists, prosthodontists, orthodontists, and specialists in the field of dentistry.
By utilizing the DenMat Lab Rx form, dental professionals can communicate their specific case requirements, preferences, and instructions to the dental lab effectively. This ensures a smooth workflow and optimal outcomes for patients.
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What is denmat lab rx form?
Denmat lab rx form is a form used to request services from DenMat dental laboratory.
Who is required to file denmat lab rx form?
Dentists and dental professionals who want to request services from DenMat dental laboratory are required to file denmat lab rx form.
How to fill out denmat lab rx form?
To fill out denmat lab rx form, you need to provide the necessary information such as patient details, desired services, specifications, and any special instructions. The form can be filled out electronically or manually.
What is the purpose of denmat lab rx form?
The purpose of denmat lab rx form is to facilitate the communication between dentists and DenMat dental laboratory for requesting laboratory services.
What information must be reported on denmat lab rx form?
The denmat lab rx form requires information such as patient details (name, contact information, etc.), desired services, specifications, any special instructions, and relevant dental records.
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