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.

DOWNLOAD HERE

Rx Implant Supported Denture Order Form

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

DOWNLOAD HERE

Rx Wagner Try-In (WTI) Order Form

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

DOWNLOAD HERE

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.

DOWNLOAD HERE

Rx Order Forms

Support Rx Order Forms

Rx Denture Order Form

Rx Implant Supported Denture Order Form

Rx Wagner Try-In (WTI) Order Form

Rx Try-InProcessing Form

Rx Try-In
Processing Form