Start a Case Today The Wiand Way! Call Us 480.446.7063 or 833.269.1195

Doctor’s Forms

Doctor’s Forms
Doctor’s Forms 2019-06-05T20:58:12+00:00

Below you will find a Doctor’s Preference Sheet that will help us to customize our products based on your requests.  In addition, you will also find a Lab Slip | Prescription should you run out at your office.  Completed forms can be faxed to us at 480.446.7081 or emailed to reception@wiandlab.com.

Click on the buttons below to view a PDF.

Doctor’s Preference Sheet

Download, Print & Fax
Fill Out Online, Scan & Email

General Lab Slip | Prescription

Download, Print & Fax
Fill Out Online, Scan & Email

Clear Aligner Lab Slip

Download, Print & Fax

All-on-4® Laboratory Prescriptions

Phase 1 Provisional – Download, Print & Fax
Phase 2 Final Impression – Download, Print & Fax
Phase 2 Final Restoration – Download, Print & Fax

Payment Policy

Payment Policy

Schedule a Pick Up in Phoenix

Schedule a Pick Up