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RX Form

Quick & Easy Steps

  1. Download our fill-able Adobe PDF RX Form and save it to your computer.

  2. Open up the form from where you saved it.

  3. Fill it out and save it with a new name (patient name and date, for example)

  4. Print

  5. Sign

  6. Mail or Scan/Email the completed form to us!
    Dental Metrics Inc.
    68323 Lea St. Suite B
    Iron River, WI 54847

Any questions? Feel free to call us today at 715-372-4165.

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