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Name: Fillable Online EZ-ALIGN PRESCRIPTION Fax Email Print - pdfFiller
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Both the EZ-X and EZ-Align Clear Tray aligner system are a great ... directly from your scanner, simply email your EZ- Align prescription to Rx dynaflex.com.

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How to fill out ez-align prescription

01

To fill out an ez-align prescription, follow these steps:

02

Begin by providing your name and contact information.

03

Specify the number of aligners required for the treatment.

04

Indicate any additional instructions or specifications.

05

Include the date and your signature to validate the prescription.

06

Submit the completed prescription to the authorized provider.

07

Keep a copy of the prescription for your records.

Who needs ez-align prescription?

01

Ez-align prescription is needed by individuals who require orthodontic treatment using aligners or clear aligner therapy.

02

It is typically recommended for patients with mild to moderate dental misalignment or malocclusion.

03

Those who wish to straighten their teeth without traditional metal braces often opt for ez-align prescription.

04

It is important to consult with a qualified orthodontist to determine if ez-align prescription is suitable for your specific dental condition.

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What is ez-align prescription?

Ez-align prescription is a form used by healthcare professionals to provide instructions for aligner therapy treatment.

Who is required to file ez-align prescription?

Dentists and orthodontists are required to file ez-align prescriptions.

How to fill out ez-align prescription?

Ez-align prescriptions can be filled out by providing the patient's information, treatment instructions, and any other relevant details.

What is the purpose of ez-align prescription?

The purpose of ez-align prescription is to provide clear instructions for aligner therapy treatment.

What information must be reported on ez-align prescription?

Information such as patient name, treatment plan, aligner instructions, and any additional notes must be reported on ez-align prescription.

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