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Universal Rx - Glidewell Laboratories 2025

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The document is a prescription form from Glidewell Laboratories for dental restorations, detailing various options for materials and designs, including zirconia, all-ceramic, porcelain fused to metal, and more. It includes sections for patient and doctor information, specific restoration requests, shade indications, and working times for different products. Additionally, it outlines terms of service, warranty information, and preparation guidelines for dental devices.

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Click ‘Get Form’ to open the Universal Rx - Glidewell Laboratories document in the editor.
Begin by entering the doctor's name and phone number at the top of the form. This information is crucial for communication regarding the prescription.
Fill in the account number and patient name, ensuring accuracy as this will link the prescription to the correct patient record.
Provide the patient's address or email and specify a delivery date by 5 p.m. This ensures timely processing and delivery of dental products.
Indicate what is enclosed with the case by checking appropriate boxes such as impressions, models, or photos. This helps streamline lab processes.
Select the desired restoration type from options like Zirconia or All-Ceramic, and indicate specific shades where required. Be precise to avoid errors in fabrication.
Complete any additional sections relevant to your case, including pontic design and margin specifications, ensuring all necessary details are provided for accurate results.

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