Send a Traditional Impression

---

Send a Traditional Impression

Our streamlined case submission guide assists clinicians step-by-step, so that they may send their patient’s restoration as easily as possible. Follow our simple, three-step process below to begin sending your patient’s case.

• Step One
• Step Two
• Step Three

Step One

Download, complete, and attach our Rx Form with your case.

Download Fixed Rx Form

Download Removables Rx Form

Step Two

Provide your ZIP Code below to see if you fall within our local pickup area, or print a FREE UPS shipping label.

Zip Code

You’re in the neighborhood of our local laboratory which qualifies you for free pickup and delivery service.

Full Name *

Company *

Address *

Suite #

City *

State *

Zipcode *

Email Address *

Phone Number *

Time *
AMPM

Pick Up Day *
TodayTomorrow

Special Instructions for Driver:

It looks like you’re not in our local pickup area. Fill out the form below to print a FREE UPS shipping label.

Step Three

Know exactly when you’ll be receiving your patient’s restoration with our convenient case scheduling tool.

Select Product• EstheTek FCZ• BruxZir FCZ• Bridges Over 5 Umits• Porcelain Fused to Zirconia. • Anterior EstheTek FCZ• IPS eMax Press • Non-Precious PFM • High Noble PFM • Gold Crowns • Implants (subject to availability by manufactures) • Avadent Dentures - call Ceratek for Turn-around times.