Dental Prescription Lab Slips - First Choice Dental Lab

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Dental Prescription Lab Slips from First Choice Dental Lab®

To get started, choose the dental prescription lab slip that best suits your needs by clicking the associated button below!

NOTE: *Must Download & Complete in Adobe Reader/Acrobat – Click Here to Download
**Email Your Completed Form to Info@FirstChoiceLab.com

Printable Version

Digital Version

UPS Shipping Label

Request a Fee Schedule

Step 1 of 5

Do You Own or Work For a Dental Practice?*
*First Choice Dental Lab Only Works Directly With Dental Practices.
Unfortunately, we only work directly with dentists.
Name of Dental Practice*

Which Service(s) Are You Looking To Obtain?*
- Crowns & Bridges
- Implants
- Dentures
- Partials
- Night Guards
- Mouthguards
- Other
Choose all that apply.
Please Explain*

Do You Prefer Domestic or Off-Shore Restorations?*

Do You Have An IOS Scanner?*
Are you interested in leasing a scanner through First Choice Dental Lab?*

Name*
Email*
Phone
Optional
Name
This field is for validation purposes and should be left unchanged.