Complete the prescription form below, attach any intra-oral scans or files, and we'll confirm receipt and turnaround. Collection and delivery details are further down the page.
Fill in the practice, case and material details below.
Attach digital scans, or arrange collection of impressions and models.
We acknowledge the case and confirm the agreed delivery date.
Fields marked * are required. This form records the written prescription from the referring practitioner.
We arrange collection of impressions and models, and delivery of finished cases, for practices in the greater Johannesburg and Randburg area. For digital cases, scans can be sent electronically — no courier needed.
To arrange a collection, call 011 789 6383/4 or note your preferred date in the case notes above.
Have impressions or models ready to go? Call the lab or add a collection note to your RX and we'll schedule a pickup.
Working digitally? Export your intra-oral scan and attach it to the form above, or send it through your usual scanner portal.
We're happy to advise on materials, workflow and turnaround before you submit.
Contact the Lab