Lab Prescription

Complete the prescription below and submit. A formatted copy is generated automatically and sent to our lab coordination team at [email protected].

Doctor & Practice

Doctor

Practice Name

Address

Phone

Patient Information

Today's Date

Due Date

First Name

Last Name

Sex

Shade

Stump Shade

Tooth #(s)

Circle Teeth / Arch

Numbering System

Tap a tooth to select it. Changing the system re-labels every tooth and updates the Tooth # field.

Rx — Instructions

Shade & Pontic Design

Pontic Design

Contact / Occlusion

Attach photos & scans — strongly recommended

Google Drive · Dropbox · WeTransfer

Cases with preop photos, shade photos, and intra-oral scans are dramatically less likely to be remade. Please share every case with at least one shade photo — full-smile photo too for esthetic anteriors.

Upload STL scans, JPGs, or PDFs to your own Google Drive, Dropbox, or WeTransfer and paste the shareable link below. Set permissions to Anyone with the link can view so the lab can open it.

Special Comments

Doctor's Authorization

Signed by (typed signature)

Generated Prescription

Submitting sends this prescription to [email protected].

Lab Prescription

Fixed Prosthetics

Implant Prosthetics

Other Prosthetics