RX Forms

Our Crown and Bridge Rx Form below is downloadable and printable and can be faxed to us upon completion. Our Fax No. is 510.601.0110. Feel free to call us with any questions at Tel. 510.601.0119.   We are here to serve you 8:30AM – 5:00PM Monday – Friday. Opening a New Account for your Dental Office with Creative Porcelain is easy. Just print and fill out the New Account form below and fax it to us. Once this is done you may submit your first order by printing our Rx Form below and faxing it to us. Special Offer to new Clients: 50% off on your first order and free shipping!

Crown & Bridge RX Form

New Account Form