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Templates · Lab order

Dental lab order form

A free lab prescription on one A4 page: tooth chart, work, material, shade, design and what's enclosed. Fill it on screen and print it, or download the blank PDF.

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Tap a line to type, tick the boxes, then print. Nothing you type leaves your browser.

Dental lab order

Order no.
Dentist
Phone
Clinic
Lab
Patient (name or code)
Age
Sex
Sent
Try-in
Needed by

Teeth (FDI)

Work

Material

Shade

Shade
Guide
Stump shade

Design

Pontic
Occlusion
Contacts
Margin

Enclosed

Notes for the technician

Signature
Date

Free template from OnlyTeeth · onlyteeth.app

How to fill in a lab order so the work comes back right

Most remakes start with a vague lab order. The technician only knows what's on the form and in the box. Everything else is a guess.

Lab orders from the case, in English or Arabic

In OnlyTeeth, a lab order starts from the case. You pick the shade on a shade picker, and the PDF carries the shade photo, your logo and your signature, in English or Arabic, ready to send to the lab's chat. Lab orders are part of OnlyTeeth Premium; every new account gets 30 days of Premium free.

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Questions

Is this the same as a dental lab prescription?

Yes. Lab order, lab prescription, lab slip and work authorisation all mean the written instructions that go to the lab with the case.

Can my lab use it as their own form?

Yes, it's free to use, print and share. Type the lab's name at the top, save it as a PDF and print as many as you need.

Which tooth numbering does it use?

FDI (11–48), the two-digit system used in most countries. Write the teeth out in the notes if your lab uses another system.

More templates: Dental prescription · Dental CV