RX Form

*Terms: Net 30 with a service charge of 1.5% per month on charges over 30 days after statement date. Only if signed, construct and deliver the herein described dental restoration(s). Client shall be responsible for all fees, costs, charges, and expenses expended or incurred in any suit or action for collection of past due amounts or enforcement of provisions of this Agreement.

*Case turnaround times are based on the date the RX, models, and appropriate parts are received at our lab. Please allow a minimum of 10 business days in lab processing time.