8/17/2019 Dr Preference Form

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Dear Doctor:

To DTS is very important that we make your restorations according you personal

preferences. Please take just one minute to fill this form and let us know how we

can do to make your restorations following your preferences. We save your prefer-

ences in the system and every time you send us a case we make sure in our quality

control that we follow every step.

Contact Style:

 ________ Light

 ________ Normal Point

 ________ Heavy

 ________ Narrow

 ________ Broad ________ Heavy Broad.

 _________ Other : ______________________________

Doctor’s Name :: ____________________________________________________________________________ 

DTS account Number : ______________________

Occlusal Clearance

 ________ In Occlusion

 ________ Light Occlusion

 ________ Out of Occlusion ________ Die Spacer on opposing

 ________ Foil on opposing

 ________ Other : ____________________________________________