Please, 1st download the fillable Rx Sheet, then fill out.

(Signature line does not work with Google Chrome.)

First class quality since 1991

Call us


(800) 352-0949


For appliances requiring soldering, we

will need a stone model.  If not provided

by your office, there will be a charge to duplicate your 3D model in gypsum.

​​Digitally printed models 

If you're using an Itero scanner, you can submit

scans directly through your scanner software.

Select Pilot Orthodontics as your favorite lab.

Itero ID #26766 

You can also submit your STL files and your Rx

 through Dropbox or other

Cloud-based services.

Share links to:

Please be sure to provide patient and doctor's names

for us to identify your digital scans!

Note: Due to the nature of bite registrations, for accuracy please mail them in a sturdy envelope with a Business Reply Label attached.

(You can download a label on our forms page.)