If you'd like to download one of Summit Ortho's prescription blanks, please click on the Rx image below. We can also send you hard copies, which are duplicate forms...you send us a copy and keep one for yourself.

We pay for shipping one way...just use one of our pre-paid First Class US mailing labels, which you can download by clicking the image below; or we'd be happy to send you hard copies.

If you'd like either of these forms faxed to you, please call and ask.

SummitOrthodonticServicesRXsheet.jpg

Please click the image to the left to download a pdf file of Summit Ortho's prescription blank.

postage paid mailing label.jpg

Please click the image to the left to download a pdf file of Summit Ortho's pre-paid First Class US mailing label.

Print at 100%, cut out, and tape securely to your box with clear packing tape.

Summit Orthodontic Services, Inc

343 Northmoreland Ave

PO Box 218

Munroe Falls, OH 44262

Hours

M-F  9am-5pm

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Andrea Haas

President

Carla Haas

Vice-President

PLEASE CALL, EMAIL, OR CONTACT US HERE WITH ANY QUESTIONS...THANKS!

1-800-321-9124

330-928-6023 • fax 330-928-4857

info@summitorthodontic.comwww.summitorthodontic.com