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
   merlyn@dentalmetricslab.com
    

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