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DENTAL LABORATORY WORK ORDER FORM Date: Laboratory: Name Address Phone # Patient Name or ID #: Description of work to be done. Type and Quality of materials to be used. (Include diagrams if necessary)

How to fill out dental laboratory work order

1. When filling out a dental laboratory work order, it is essential to provide accurate and detailed information. Begin by obtaining the necessary form from your dental laboratory or creating one if it is not provided.
2. The first step is to provide your basic contact information. Include your name, contact number, and email address. This is important for effective communication between the dental office and the laboratory.
3. Next, specify the patient's information. Include their full name, date of birth, and contact details. This ensures that the dental laboratory can accurately identify the patient and match the work order to the correct individual.
4. The dental office should then proceed to provide specific instructions for the work to be done. Clearly outline the requested procedures, including any dental appliances or restorations required. Provide information on the type, material, and shade of the restoration, if applicable.
5. It is crucial to include any relevant dental records or diagnostic materials. Attach X-rays, impressions, or intraoral scans as necessary to aid the dental laboratory in understanding the specific requirements of the case.
6. In addition to the instructions, include any special considerations or notes. For example, if the patient has specific allergies or requires modifications to accommodate their bite, it should be clearly communicated on the work order.
7. Specify the desired turnaround time for the completed work. This allows the dental laboratory to prioritize and schedule the case appropriately. It is important to be realistic with the given time frame to ensure quality results.
8. Finally, sign and date the dental laboratory work order. This signifies your agreement and consent to proceed with the requested work.

Who needs dental laboratory work order?

A dental laboratory work order is required by dentists, prosthodontists, orthodontists, and other dental professionals who need the services of a dental laboratory. It serves as a written communication tool, outlining the specific requirements, procedures, and materials needed for dental restorations or appliances. By using a dental laboratory work order, dental professionals can ensure clarity and accuracy in their instructions, leading to satisfactory results from the laboratory.

For pdfFiller’s FAQs

What is dental laboratory work order?

Dental laboratory work order is a form used to request services or products from a dental laboratory.

Who is required to file dental laboratory work order?

Dentists or dental offices are required to file dental laboratory work orders.

How to fill out dental laboratory work order?

To fill out a dental laboratory work order, provide all necessary information such as patient details, requested services/products, and any special instructions.

What is the purpose of dental laboratory work order?

The purpose of dental laboratory work order is to request specific services or products from a dental laboratory for a patient.

What information must be reported on dental laboratory work order?

Information such as patient name, dentist name, requested services/products, any special instructions, and due date must be reported on a dental laboratory work order.

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