Winnipeg Office
4-59 Scurfield Blvd

Keeping You Smiling For Over 30 Years!

Complete & Fax Your Crown & Bridge Prescription Form

To place a new prescription for a crown or bridge, please download and print our prescription form and fax it to 204-783-5162. If you have a question, please contact Winnipeg Crown & Bridge Dental Laboratory Ltd.


Download Form

Download the Prescription Form (PDF).

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