Accutech Orthodontic Lab, Inc.

	Orthodontic Rx Form
	General Dentist Rx Form
	Mailing Label

	Acrobat Reader

How to send your case to Accutech Our team prides itself on the craftsmanship that goes into each appliance. It is our goal to provide you with appliances that need no clinical adjustment. This process begins in your office. To help us meet our goal we stress the need for accurate models. After you have poured and recovered the work model, examine the work model to ensure that it is free of any distortions. Below is a step by step procedure for sending your work models to Accutech.

Note: You will need Acrobat Reader Version 4 or above to print out the forms listed in the left column.
If Acrobat is not installed on your machine, please click here to get it.

Sending a Work Model for an Appliance

Sending Impressions for Study Models and Work Models for Appliances

1) Write the patient's name and doctor's name on the back of the work model. This will aid us in identifying the work models when you send multiple cases in one box.

2) Wrap each work model individually in bubble or foam wrap making sure that the teeth are well protected and secure with a rubber band. We will provide the necessary packaging materials upon request.

3) Verify that the prescription form has been filled out completely including doctor's name, phone number and return date. Please consult the Turnaround Chart. A prescription form is available for you to print from this site if you need one.

4) Package the work models and prescription forms in a box and make sure the contents can not move within the box.

5) There are no shipping and handling costs associated with sending your cases to Accutech. Apply the shipping label of your choice or call us to request a UPS 2nd day air label.
1-800-734-7855

6) Give your package to the appropriate shipping company.

1) Write the patient's name and doctor's name on a safety bag. This will aid us in identifying the work models when you send multiple cases in one box.

2) Disinfect and wrap each impression individually in a wet paper towel and place in a sealed safety bag. We will provide OSHA approved safety bags for impressions upon request.

3) Verify that the prescription form has been filled out completely including doctor's name, phone number and return date. Please consult the Turnaround Chart. A prescription form is available for you to print from this site if you need one.

4) Package the impressions and prescription forms in a box and make sure the contents can not move within the box.

5) There are no shipping and handling costs associated with sending your cases to Accutech. Apply the shipping label of your choice or call us to request a UPS 2nd day air label.
1-800-734-7855

6) Give your package to the appropriate shipping company.

Toll Free 1-800-734-7855

Products RX Shipping Public Interest Turnaround Time What's New Meeting Dates