RX Forms

We have made our Lab Rx forms available to you as Adobe Acrobat files. If you have any problem getting these files to print properly, please call our lab and we will gladly send or fax them to you.

Your signature on a Prescription From evidences a contract for the sale and delivery of the specially manufactured goods mentioned herein and subject to the following terms and conditions:

  1. Client agrees to pay in full the stated price of the goods plus any late payment penalties, plus all costs of collection including attorney’s fee if any.
  2. Payment due in full after receipt of goods. A late payment penalty of 2% per month shall be charged on unpaid balance 15 days after receipt of monthly statement.
  3. Each order or work authorization billed or appliance made constitutes a complete and separate transaction to be billed and collected as such. Acceptance of new orders by Tailored Dental Ceramics, Inc. shall not represent any accord and satisfaction and shall not relieve client of any indebtedness to Tailored Dental Ceramics, Inc.
  4. Tailored Dental Ceramics, Inc. may from time to time require a deposit or ship goods C.O.D.
  5. Any use, sale, transfer, modification, of the appliance or failure to reasonably notify and return the appliance within 14 days to Tailored Dental Ceramics, Inc. shall constitute acceptance.
  6. Any defects in returned goods must be particularized and Tailored Dental Ceramics, Inc. retains the right to effect cure of the defect.
  7. Client dentist must examine all appliances and determine their fitness for any intended usage. THERE ARE NO EXPRESS WARRANTIES AND NO IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE GIVEN BY TAILORED DENTAL CERAMICS, INC.
  8. This transaction shall be governed by the laws of Michigan. Acceptance of the goods constitutes acceptance of all terms and conditions herein. This writing evidences the complete and final expression of the agreement.

Click here for our printable PDF


© 2014 Tailored Dental Ceramics. All rights reserved.

3549 Airport Road, Suite 106, Waterford, MI 48329
Phone: (248)623-2600 Fax: (248)623-2602