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Prescription form
First contact your Nobel Biocare sales office to discuss whether a product from the core assortment can be used or if a custom-made device is required. If yes, fill in the online prescription form* and send it to your local Nobel Biocare customer support representative following the instructions below.
* All the form fields are mandatory except fax.
Create form
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Sending the form
Send the completed and signed order form either by fax or email (scanned copy) to your local Nobel Biocare customer support representative. They will forward it to Custom-made Device Management in Gothenburg (Sweden), who decides whether the request fulfils the criteria for custom-made devices. You will be advised of the outcome in due course.
Regulatory requirements
Generally this service is available to customers in the EU, US, Canada, Australia, Liechtenstein, Switzerland, Norway, South Africa, Hong Kong, Israel and Russia. In Canada, the health authorities must approve the usage, based on a submission from the treating clinician. If, in exceptional cases, service for a customer in another country is envisaged, the customer needs to contact the local Nobel Biocare office for a legislative feasibility check.
This is an offer in compliance with local legislation for EU, US, Canada and Australia.