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specialty
A Specialty Appliances technician reading a case Rx sheet at the bench

Rx Sheets.

Fillable prescription sheets for every appliance family. Fill them in on screen or print them, and send them with the case.

Which sheet do I need?

One sheet per appliance family. Fill it in on screen and save it, or print it and send it with the case.

Herbst Rx PDF · Fillable MARA Rx PDF · Fillable Hawley Retainers & FLR Rx PDF · Fillable Indirect Bonding Rx PDF · Fillable Clear Image® Aligners Rx PDF · Fillable Metals Rx PDF · Fillable Digital Services Rx PDF · Fillable Guardian Retainer Rx PDF · Fillable Functionals Rx PDF · Fillable Positioners Rx PDF · Fillable Splints Rx PDF · Fillable Surgical Wire Rx PDF · Fillable Hybrid Complete Rx PDF · Fillable TADs Rx PDF · Fillable Accutech Rx PDF · Fillable

Sending from
Canada?

Canadian practices use their own four sheets, with the customs details we need on them.

Getting the sheet
right first time.

A complete sheet goes straight onto the bench. These are the details we most often have to call about.

Patient name and the requested return date
The appliance and the options you want, ticked on the sheet
Any special instructions, written as you’d say them to the technician
Your practice name and account number
Haas, top view Distal Jet, top view MARPE 4 eyelet, front view

Send us your
next case.

Appliances that fit the first time and arrive on time.