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Dental lab order form pdf

Dental lab order form pdf 2025

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The document is a Dental Laboratory Subcontractor Work Order Form that outlines the necessary information and requirements for subcontractors involved in dental work. It includes sections for subcontractor details, patient identification, dentist information, a description of the work to be performed, and material specifications. Additionally, it mandates written confirmations regarding the subcontractor's status (foreign or domestic), material safety compliance, and proper handling of finished products before returning them to the contracting laboratory.

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Click ‘Get Form’ to open the dental lab order form in the editor.
Begin by entering the date at the top of the form. This helps track when the order was placed.
Fill in the subcontractor's name and address, ensuring all details are accurate for proper identification.
Input the patient’s name or ID number. This must match the original work form to avoid discrepancies.
Provide the dentist's name and address who is originating the work order. This section is crucial for communication.
Describe the work to be done, including type and quality of materials. Attach any necessary diagrams or additional pages if needed.
Complete the issuer's information, including their signature, to validate the order.
Review all checked items regarding notifications about materials and cleaning protocols before submission.

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