Download Printable RX Form

NDX Lumident has two different RX form options to download based on the type of case you need to send us.  Each prescription form is customized for certain product and service offerings. Please be sure to completely fill out all the required fields and check the appropriate boxes to ensure your RX specifications are met.
 
Standard RX Form Orthodontic RX Form
  

Going Digital?

NDX Lumident can accept digital files from almost every intra-oral scanner on the market. Click here for directions on sending your scans to us.