Denture/Cast Partial Prescription
Online Prescription (Rx) Forms

To print out a hard copy Denture & Cast Partial Prescription (Rx) form, simply click on your preferred laboratory location below. (For a full laboratory information package, use the convenient Contact Us form or call the telephone numbers listed).

Aurum Ceramic Dental Laboratories

1320 N. Howard
Spokane, WA 99201-2412
(509) 326-5885 | TOLL FREE 1-800-423-6509

Classic Space Maintainers NE Inc.

839 Commerce Park Drive
Ogdensburg, NY 13669
(315) 393-6062 | TOLL FREE 1-866-310-5800