Rx Order Forms

As an AvaDent user, please use the AvaDent Dashboard to fill out a digital Rx Form. The purpose of downloadable prescription forms on this page is to print and document inputs, then use them to fill out a digital Rx Form on the AvaDent Dashboard.

Support Rx Order Forms

Always fill out a digital Rx form on the AvaDent Dashboard. You may download an Rx prescription form below and print a paper copy to gather inputs.

Rx Denture Order Form

Use this form for complete dentures, immediate dentures, try-ins, implant-supported dentures, and more.

Rx Implant Supported Denture Order Form

Use this form for an AvaDent Hybrid, overdenture, Snap-Pin, or Accelerset.

Rx Wagner Try-In (WTI) Order Form

Use this form for a Wagner Try-In (WTI)

Rx Try-In
Processing Form

After ordering a try-in, use this form to finalize your denture by providing additional information on setup changes if needed.
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