To send a case:

1. Fill out and submit our online Rx form or print out Rx form (see below).
2. Complete and return credit policy.
3. Wrap models, impressions, bites, etc. carefully with tissue or bubble wrap.
4. Securely tape box and affix mailing label.
5. Call 800-845-1116 to let us know you have a case ready to send.  We will arrange
   for a pick-up if you are within our courier service area.  For those that fall outside
   this area, we will mail or email a mailing label to be used via US Postal Service.
   Your cases will be returned using UPS or FedEx service at no cost to you.

You may also fill out the form below or call us toll-free to request a start-up kit which
will include product literature, packing materials, pre-paid mailing labels, and Rx forms.

Printable Fixed Rx Form

Printable Removable Rx Form

Printable Credit Policy Form

Printable W-9 Form

Fill out the form below to request a Starter Kit! 

Name

Address 1
Address 2
City
State AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip

Email

Phone

Type

Dental Office

Dental Laboratory

Include

Fixed Rx

Removable Rx