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About us
Appliances
3d Printing
Work Order
Standard Appliance Work Order
Smile Shapers Work Order
Blog
Contact Us
Work Order
Art Orthodontic Laboratory
4112 George Washington Memorial Hwy Suite 6 Yorktown, VA 23692
Step
1
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3
33%
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Contact No
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Patient Name
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Street
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City
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State
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Zip
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License #
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Date Returned (must be 7 or more days out)
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MM slash DD slash YYYY
Select Maxillary Color #1
#cac1aa - 1 Clear
#d37f6f - 2 Clear pink
#c2ae25 - 3 Clear yellow
#eb543d - 4 Clear orange
#c31a00 - 5 Clear red
#17976e - 6 Clear green
#003d82 -7 Clear blue
#41142a - 8 Clear purple
#d3d1c5 - 9 White
#050505 - 10 Black
#ff4402 - 11 Mango orange
#c8640f - 12 Tangerine
#d4aa24 - 13 Lemon yellow
#c12114 - 14 Apple red
#89a166 - 15 Lime green
#6d8f9f - 16 Blueberry
#ff775c - 17 Neon orange
#cbbc95 - 18 Neon glow
#ff5e5a - 19 Neon red
#ff6573 - 20 Neon pink
#e6ae00 - 21 Glow yellow
#e24e52 - 22 Glow pink
#e99759 - 23 Glow orange
#60825b - 24 Glow green
#71788d - 25 Glow blue
#7c5593 - 26 Purple sunset
#f92f25 -27 Lava red
#ff2a44 - 28 Paradise pink
#00a52a - 29 Key lime green
#005297 - 30 Ocean blue
#c5dd34 - 31 Banana yellow
#1c948c -32 Tidewater teal
#f18e9e - 33 Pastel pink
#df4755 -34 Pastel red
#f2c831 - 35 Pastel yellow
#e58f58 - 36 Pastel orange
#7c90c1 - 37 Pastel blue
#6d9b7e - 38 Pastel green
#8f617c - 39 Pastel purple
#b7b7bb - Silver gltr
#8e5f14 - Gold gltr
#1a6151 - Aqua gltr
#004d7b - el Blue gltr
#0a301f - Green gltr
#a81e18 - Red gltr
#040404 - Black gltr
#240e2c - Purple gltr
#8a1409 - Apricot gltr
#6a0b19 - Fuchsia gltr
Would you like a 2nd Maxillary Color?
No
Yes
Select Maxillary Color #2
#cac1aa - 1 Clear
#d37f6f - 2 Clear pink
#c2ae25 - 3 Clear yellow
#eb543d - 4 Clear orange
#c31a00 - 5 Clear red
#17976e - 6 Clear green
#003d82 -7 Clear blue
#41142a - 8 Clear purple
#d3d1c5 - 9 White
#050505 - 10 Black
#ff4402 - 11 Mango orange
#c8640f - 12 Tangerine
#d4aa24 - 13 Lemon yellow
#c12114 - 14 Apple red
#89a166 - 15 Lime green
#6d8f9f - 16 Blueberry
#ff775c - 17 Neon orange
#cbbc95 - 18 Neon glow
#ff5e5a - 19 Neon red
#ff6573 - 20 Neon pink
#e6ae00 - 21 Glow yellow
#e24e52 - 22 Glow pink
#e99759 - 23 Glow orange
#60825b - 24 Glow green
#71788d - 25 Glow blue
#7c5593 - 26 Purple sunset
#f92f25 -27 Lava red
#ff2a44 - 28 Paradise pink
#00a52a - 29 Key lime green
#005297 - 30 Ocean blue
#c5dd34 - 31 Banana yellow
#1c948c -32 Tidewater teal
#f18e9e - 33 Pastel pink
#df4755 -34 Pastel red
#f2c831 - 35 Pastel yellow
#e58f58 - 36 Pastel orange
#7c90c1 - 37 Pastel blue
#6d9b7e - 38 Pastel green
#8f617c - 39 Pastel purple
#b7b7bb - Silver gltr
#8e5f14 - Gold gltr
#1a6151 - Aqua gltr
#004d7b - el Blue gltr
#0a301f - Green gltr
#a81e18 - Red gltr
#040404 - Black gltr
#240e2c - Purple gltr
#8a1409 - Apricot gltr
#6a0b19 - Fuchsia gltr
Select Mandibular Color #1
#cac1aa - 1 Clear
#d37f6f - 2 Clear pink
#c2ae25 - 3 Clear yellow
#eb543d - 4 Clear orange
#c31a00 - 5 Clear red
#17976e - 6 Clear green
#003d82 -7 Clear blue
#41142a - 8 Clear purple
#d3d1c5 - 9 White
#050505 - 10 Black
#ff4402 - 11 Mango orange
#c8640f - 12 Tangerine
#d4aa24 - 13 Lemon yellow
#c12114 - 14 Apple red
#89a166 - 15 Lime green
#6d8f9f - 16 Blueberry
#ff775c - 17 Neon orange
#cbbc95 - 18 Neon glow
#ff5e5a - 19 Neon red
#ff6573 - 20 Neon pink
#e6ae00 - 21 Glow yellow
#e24e52 - 22 Glow pink
#e99759 - 23 Glow orange
#60825b - 24 Glow green
#71788d - 25 Glow blue
#7c5593 - 26 Purple sunset
#f92f25 -27 Lava red
#ff2a44 - 28 Paradise pink
#00a52a - 29 Key lime green
#005297 - 30 Ocean blue
#c5dd34 - 31 Banana yellow
#1c948c -32 Tidewater teal
#f18e9e - 33 Pastel pink
#df4755 -34 Pastel red
#f2c831 - 35 Pastel yellow
#e58f58 - 36 Pastel orange
#7c90c1 - 37 Pastel blue
#6d9b7e - 38 Pastel green
#8f617c - 39 Pastel purple
#b7b7bb - Silver gltr
#8e5f14 - Gold gltr
#1a6151 - Aqua gltr
#004d7b - el Blue gltr
#0a301f - Green gltr
#a81e18 - Red gltr
#040404 - Black gltr
#240e2c - Purple gltr
#8a1409 - Apricot gltr
#6a0b19 - Fuchsia gltr
Would you like a 2nd Mandibular Color?
No
Yes
Select Mandibular Color #2
#cac1aa - 1 Clear
#d37f6f - 2 Clear pink
#c2ae25 - 3 Clear yellow
#eb543d - 4 Clear orange
#c31a00 - 5 Clear red
#17976e - 6 Clear green
#003d82 -7 Clear blue
#41142a - 8 Clear purple
#d3d1c5 - 9 White
#050505 - 10 Black
#ff4402 - 11 Mango orange
#c8640f - 12 Tangerine
#d4aa24 - 13 Lemon yellow
#c12114 - 14 Apple red
#89a166 - 15 Lime green
#6d8f9f - 16 Blueberry
#ff775c - 17 Neon orange
#cbbc95 - 18 Neon glow
#ff5e5a - 19 Neon red
#ff6573 - 20 Neon pink
#e6ae00 - 21 Glow yellow
#e24e52 - 22 Glow pink
#e99759 - 23 Glow orange
#60825b - 24 Glow green
#71788d - 25 Glow blue
#7c5593 - 26 Purple sunset
#f92f25 -27 Lava red
#ff2a44 - 28 Paradise pink
#00a52a - 29 Key lime green
#005297 - 30 Ocean blue
#c5dd34 - 31 Banana yellow
#1c948c -32 Tidewater teal
#f18e9e - 33 Pastel pink
#df4755 -34 Pastel red
#f2c831 - 35 Pastel yellow
#e58f58 - 36 Pastel orange
#7c90c1 - 37 Pastel blue
#6d9b7e - 38 Pastel green
#8f617c - 39 Pastel purple
#b7b7bb - Silver gltr
#8e5f14 - Gold gltr
#1a6151 - Aqua gltr
#004d7b - el Blue gltr
#0a301f - Green gltr
#a81e18 - Red gltr
#040404 - Black gltr
#240e2c - Purple gltr
#8a1409 - Apricot gltr
#6a0b19 - Fuchsia gltr
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