Restorative Prescription
Online Prescription (Rx) Forms

To print out a hard copy Advanced Cosmetic 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

Aurum Ceramic AE (Advanced Esthetic) Team™
TOLL FREE 1-800-661-1169

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

Aurum Ceramic @ LVI
(Specializing in Neuromuscular Dentistry)

Las Vegas
1401 Hillshire Dr. Suite 120
Las Vegas, NV 89134
(702) 254-6406 | TOLL FREE 1-877-254-5334