How to Complete an Rx Form for PFM Please complete all of the highlighted areas. 1 Select PFM metal option. 2 Indicate Shade, Gingival, Body and Incisal. 3 Provide patient photos. 4 Indicate the Lingual Design (dark blue indicates metal). 5 For bridge cases, indicate the Pontic Design. 6 Fill in the date and
Dental Crafters Rx Form Requirements
time needed for the case to be returned, along with doctor and patient information.
7 Indicate the tooth number(s). 8 Complete signature.
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