Ortho Appliances and Sleep Device Prescriptions

Click below on the image of the prescription you wish to view/download. Follow the instructions to save the prescription pdf with your office and patient information.

See Laboratory Terms and Conditions Here.

Step 1 – Save Prescription Your Consistent Office Information

– Click one of the DynaFlex Prescription below to open it in your browser window.
– Go to File then Save As and save it to your desktop or folder of choice.
– Open the RX.pdf and fill in information that will remain consistent on all prescriptions (such as doctors name, address, email, etc.).
– Go to File then Save to save the rx with your consistent information.

Step 2 – Save Prescription With Individual Patient Information

– Open your saved version of RX.pdf and fill in all of the patients information.
– Go to File then Save As (this will save a “copy”) and rename and save file with patients name/info.
– Your original Rx is still saved with your consistent information and a copy is saved for your individual patient, you’ll then submit the patient’s Rx to DynaFlex!
–  Email: rx@dynaflex.com or Mail: DynaFlex – 10403 International Plaza Drive, St. Ann MO 63074

Sleep Device Rx

General Ortho Rx

Retainer Rx

EZ-Align Rx

Herbst Rx

SmartJet Rx

Series 2000 Rx


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