contact us: print rx
The success of our joint effort is directly dependent upon the communication
we share. Below is a link which will allow you to print our work authorization
form. Please carefully review our work authorization form. It is very important
that each form is completed properly and expresses your specific intention
for each case submitted to the laboratory. If you require a service not
listed in our limited space, please indicate your preference in the open
area on the right. Please help us meet your objectives by providing us with
as much detail as possible. Pads of work authorization form are available
by calling or e-mailing our customer service staff.
Download Fixed RX
Download removable rx
For large cases we recommend you also include our BluePrint diagnostics work
authorization. This form assists our clients in communicating advanced technique
requirements and specifications. Please use this form when necessary as an addendum
to our regular prescription.
Download BluePrint addendum
The above link will open
our work authorization in a printable format, it requires
Adobe Acrobat Reader or Viewer. This program is probably
already loaded on your computer; however, if it is not you
can download it for free now.