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Orthodontic Prescriptions

 

Request Prescription Form

 

General Lab Prescription

 

 

This prescription sheet may be downloaded to your computer to save time, effort, and help eliminate errors.  To download, click on one of the links above to open it in your browser.   Right click on the form, or go to “File” at the top left hand side of your browser and “save as” to either your desk top or a folder designated for prescriptions.

 

We hope that you find this electronic form useful and time saving.  Should you prefer our lab to send you copies of our prescription form, you may utilize the reorder form link at the top of this page. Please feel free to contact us with any suggestions for changes or additional forms.

QC Orthodontics Lab, Inc. logo and link to home page