Client Services · Rx forms

Rx forms.

Download and print the Advanced Dental Laboratory Rx form, and see what to include with every case.

Rx form

Print it, fill it in, send it with the case.

Use our Rx form for conventional impressions and models, and send it with the case. More ways to send on Send a Case.

Order printed Rx slips · Single-page form, prints on letter paper.

Page 1 of the Advanced Dental Laboratory Rx form: doctor, patient, shade and tooth chart fields with material checkboxesPreview: page 1 of 1

Scanning instead?

We accept scans from iTero, 3Shape, Medit, Shining 3D, Straumann AXS, Dexis, DS Core and more. Our iTero Lab ID is 4364; other systems can link to us via info@adlny.com.

Send a case

Checklist

What every Rx should include.

  • Doctor, practice, phone and email
  • Patient reference: initials or your case number
  • Tooth numbers and restoration type
  • Material (e.g. multilayer zirconia, IPS e.max, PFM)
  • Shade, with shade photos if you have them
  • Requested date
  • Implant system and platform, for implant cases
  • Any special instructions

Turnaround

Typically 4–5 lab days; complex cases need longer. Same-day or next-day for flippers, repairs and crowns.

Questions about an Rx?

Talk to us about your case planning.

212.889.8812

Work with us

Your next case, crafted in Manhattan.

Talk to us about your case planning. Call 212.889.8812, or send your scan or Rx.