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.

Need a shipping label + pickup?

Shipping labels and pickups are completely free.

[email protected]
(860) 370-3853

Hours: 24 Hours (M-F EST)

Digital Scans

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:

[email protected]
(203) 793 6524

How to Request Boxes

If your office sends physical impressions, we can provide free shipping boxes to make the process simple.

Contact our care team directly and we’ll handle the rest:

[email protected]
US + CA: +1 (860) 238-3636
AU: +61 2 5017 1934

Hours: 24 Hours (M-F EST)

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

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