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Get the free NEW DSG Sleep Ortho Rx - Dental Services Group

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ORT HO & SLEEP PRESCRIPTION FORM800.259.3717 www.dentalservices.netLaboratory Procedure Authorization DR SIGNATURE REQUIRED DR NAM EPT NAME FIRSTADDRESSLASTCITY ENCLOSED WITH CASE:AGESTATEModelMetal
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New DSG Sleep Ortho is a form used to report orthodontic treatment services provided to patients.
Orthodontists and dental service providers are required to file the new DSG Sleep Ortho form.
The new DSG Sleep Ortho form can be filled out online or via a paper form provided by the dental association.
The purpose of the new DSG Sleep Ortho form is to track and report orthodontic treatment services for patients.
Information such as patient details, treatment provided, dates of treatment, and payment information must be reported on the new DSG Sleep Ortho form.
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