Phone Hours: 5 a.m. - 6 p.m. PST / 8 a.m. - 9 p.m. EST ©2008 Glidewell Laboratories
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Printable Rx Form
Click on the Rx form to open the PDF file. Type in your information and print the Rx form to ship with your case.
To avoid shipping delays, cut out the area highlighted (left) in yellow and tape it to the outside of the box.
If you have a pre-printed Rx provided free by Glidewell Laboratories, simply peel the label off and affix to the outside of the box.