Digital prescription

Send an Rx
to the bench.

Fill in the same prescription as our paper pad, tap the teeth on the chart, attach scans or photos, and send it straight to the lab. You'll see a summary to check before anything is sent.

Prefer paper? Download the crown & bridge Rx (PDF) or the removables Rx (PDF).

Which prescription?

1Doctor & patient

We reply here. Your copy of the Rx goes here too, unless you choose another address below.

A full copy of every Rx you send is emailed to you for your records. Leave blank to use the email above, or enter up to 2 addresses separated by a comma.

Initials or your chart/case number are enough. We only need what's on your paper Rx.

Sex

Local Grande Prairie, in full working days: crowns & bridges 5 (up to 4 units) or 7 (5+ units), anterior 7, implants 10 (subject to parts), splints 5. Elsewhere, allow a few extra days for Purolator shipping. Schedule

Requests
Crown & bridge prescription

2Teeth & pontic design

Tap a tooth to mark it as

FDI numbering (upper right 11–18, upper left 21–28, lower left 31–38, lower right 41–48), shown from the front as on our paper pad. Tap again to clear a tooth.

Pontic design (bridges)

A shade-tab photo attached below helps too.

3Restoration preferences

Choose the material for this case, the same as circling it on the pad.

PFM
Margin
Occlusion
Zirconia
E-max
Veneers
Full Gold
Waxup

4Clearance & occlusion

If inadequate clearance
Centric contact

Our default is foil relief: 0.25 mm for digital, 0.3 mm for analog.

Lateral excursion
Removables prescription

2Orthodontics & appliances

Splint options
Space maintainer options
Essix retainer options
Sportsguard options
Panthera model
Arch for the appliance

Crowns, bridges, pontics or fragile teeth (optional)

Tap the teeth with crowns, bridges or pontics, or fragile teeth, that need care when we design the appliance. FDI numbering.

5Rx notes

6Scans, files & delivery

How is the case getting to us?

Choose files or drag them here

STL, PLY, OBJ, ZIP, DCM, JPG, PNG, HEIC or PDF. Up to 10 files and 50 MB in total. For full-arch scans, use your scanner portal and tick it above.

    Return delivery

    7Sign the Rx

    Not signed yet.

    Sign with your mouse, finger or stylus, as on the paper pad. Your drawn signature is your signature on this prescription.

    JavaScript is off, so the drawing pad isn't available. Your typed name is your signature on this prescription.

    In the event that your account becomes delinquent beyond our agreed net terms of 30 days, you are responsible for any and/or all late fees, service charges, attorney fees or collection costs incurred in the recovery of amounts owed.

    Nothing is sent until you confirm on the next step.