RX Form (For Physical Impressions Only)

For doctors sending physical impressions - please download, print + fill out, and include this form with every case.

98%

Accuracy Rate

10 days

Average Time

24/7

Support

Download the RX form

Include a completed copy with every physical impression case.

Shipping labels and pickups are completely free.

Hours: 8am EST - 12am EST (M-F)

If you’re using a digital scanner (iTero, Medit, 3Shape, etc.), you do not need to fill out this form.

Please contact our team for connection instructions or scanner setup help:

If you haven’t yet: Test us completely risk free