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specialty

Rx Forms.

Every Rx form our appliances use, in one place. Fill it in on screen or print it, and send it with the case.

19 forms
Sending from Canada? Canadian practices use their own four sheets, with the customs details we need on them.
Don’t see your question? Call or email us and Customer Success will answer it.

Getting the sheet
right first time.

A complete sheet goes straight onto the bench. These are the details we most often have to call about.

Patient name and the requested return date
The appliance and the options you want, ticked on the sheet
Any special instructions, written as you’d say them to the technician
Your practice name and account number
Haas, top view Distal Jet, top view MARPE 4 eyelet, front view

Send us your
next case.

Appliances that fit the first time and arrive on time.