Get the free ATLANTIS Abutment Prescription Form - Hopetown Dental ...

ATLANTIS Abutment Prescription Form Doctors NameLicense NumberPhone Number Outpatient/Case Today DateImplant Restoration Choices (select one) Esthetic Titanium Package, $425 Includes:Titanium Package,

How to fill out atlantis abutment prescription form

How to fill out atlantis abutment prescription form

1. To fill out the Atlantis abutment prescription form, follow these steps:
2. Start by providing your personal information, including your name, address, and contact details.
3. Next, indicate the patient's information, such as their name, date of birth, and relevant medical history.
4. Specify the type of restoration needed, whether it is a single crown, bridge, or full-arch restoration.
5. Choose the material for the abutment, such as zirconia or titanium.
6. Provide additional instructions or specifications, if any.
7. Indicate the desired shade or color for the restoration.
8. Mention any special requirements or preferences for the abutment.
9. Sign and date the form to validate the prescription.
10. Finally, submit the form to the appropriate dental laboratory for processing.

Who needs atlantis abutment prescription form?

1. The Atlantis abutment prescription form is required by dentists or dental professionals who are prescribing or ordering Atlantis abutments for their patients.
2. This form helps ensure accurate communication between the dental professional and the dental laboratory, ensuring that the prescribed abutments meet the specific needs and requirements of the patient.

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What is atlantis abutment prescription form?

The Atlantis Abutment Prescription Form is a document used by dental professionals to prescribe abutments for dental implants, ensuring that the correct specifications are communicated to the dental lab.

Who is required to file atlantis abutment prescription form?

Dental practitioners who utilize Atlantis abutments for their patients are required to file the Atlantis Abutment Prescription Form.

How to fill out atlantis abutment prescription form?

To fill out the Atlantis Abutment Prescription Form, practitioners must provide patient information, the selected abutment type, any specific design requirements, and their contact information before submitting it to the dental lab.

What is the purpose of atlantis abutment prescription form?

The purpose of the Atlantis Abutment Prescription Form is to ensure accurate communication of abutment specifications from the dental professional to the laboratory, facilitating the proper fabrication of dental implant components.

What information must be reported on atlantis abutment prescription form?

The information to be reported on the Atlantis Abutment Prescription Form includes patient details, abutment specifications, lab instructions, and the practitioner's information.