Rx Order Form

First Name

Last Name

Practice Name

Doctor License

Phone

Desired return date

Patient name

Patient sex

Patient age

Patient tooth shade

Digital or analog?

Is this your first case with Novo Dental Lab?

Have you completed the new contact form?

What type of case are you sending in?

TO STREAMLINE DIGITAL FULL ARCH WORK FLOW HERE ARE SOME RECOMMENDATIONS.

ALL MUA OR SRA'S ARE COMPATIBLE WITH NOBEL, BIOHORIZONS, STRAUMANN, NEODENT, AND 3i.

THE RECOMMENDED SCAN BODY IS FROM DESS PART 52.007.

SCANS REQUIRED: SCAN OF CURRENT PROVISIONAL (CONVERTED DENTURE OR 360 DENTURE SCAN WITH WASH. SCAN OF OPPOSING WITH DIGITAL BITE AND A FINAL SCAN OF THE DESS SCAN BODY.

Desired final restoration type

Specific instructions

Implant system

Implant system details

Specific instructions

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You can send photos and STL files to our email [email protected] using
https://wetransfer.com/account
If you have patient photos please included the in the link

Please fill out below and we will send you a case order form

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