RPD work authorizationform10506 doc - files nyu 2025

1. Click ‘Get Form’ to open the RPD work authorization form in the editor.
2. Begin by filling in the patient’s name and chart number at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Next, enter the group practice and student details, including their name and student number, along with the date of completion.
4. Select the type of prosthesis by checking either 'Maxillary Co-Cr alloy RPD' or 'Mandibular Co-Cr alloy RPD'. Remember to use only one form for each RPD.
5. In the 'REST' section, indicate tooth numbers for mesial, distal rests, and cingulum rest as applicable.
6. For clasps, specify tooth numbers and select the clasp type from options like CCC or RPI. Use arrows on the Dentogram to show undercut locations.
7. Fill in remarks and instructions as needed to provide additional guidance for processing.
8. Complete sections for guide planes and major connectors by entering relevant tooth numbers and selecting connector types.
9. Finally, have reviewing faculty sign off by printing their name and signature along with their faculty number.

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