PRESCRIPTIONS
& MAILING LABELS

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