{"id":841,"date":"2026-03-24T04:33:18","date_gmt":"2026-03-24T04:33:18","guid":{"rendered":"https:\/\/uniwebau.tech\/dentology\/?page_id=841"},"modified":"2026-05-13T06:17:33","modified_gmt":"2026-05-13T06:17:33","slug":"request-supplies","status":"publish","type":"page","link":"https:\/\/dentologydmv.com\/index.php\/request-supplies\/","title":{"rendered":"Request Supplies"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_759776588\">\n\t\t<div class=\"bg section-bg fill bg-fill  bg-loaded\" >\n\n\t\t\t\n\t\t\t<div class=\"section-bg-overlay absolute fill\"><\/div>\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row row-collapse\"  id=\"row-2009358825\">\n\n\n\t<div id=\"col-1852853105\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<h1 class=\"elementor-heading-title elementor-size-default\"><span data-text-color=\"primary\">Request Supplies<\/span><\/h1>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\n<style>\n#row-2009358825 > .col > .col-inner {\n  padding: 40px 0px 20px 0px;\n}\n<\/style>\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_759776588 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n#section_759776588 .section-bg-overlay {\n  background-color: rgb(240, 240, 240);\n}\n<\/style>\n\t<\/section>\n\t\n\t<section class=\"section\" id=\"section_681365727\">\n\t\t<div class=\"bg section-bg fill bg-fill  bg-loaded\" >\n\n\t\t\t\n\t\t\t<div class=\"section-bg-overlay absolute fill\"><\/div>\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1221440332\">\n\n\n\t<div id=\"col-417135998\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"gap-650469825\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-650469825 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<h2 class=\"elementor-heading-title elementor-size-default\"><span data-text-color=\"primary\">Supplies List<\/span><\/h2>\n<div class=\"is-divider divider clearfix\" style=\"max-width:65%;height:1px;\"><\/div>\n\n<ul>\n<li class=\"bullet-checkmark\">Rx Pads<\/li>\n<li class=\"bullet-checkmark\">Prepaid Shipping Labels<\/li>\n<li class=\"bullet-checkmark\">Shipping Boxes<\/li>\n<\/ul>\n<h3 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size: 120%;\">Instant Supplies<\/span><\/h3>\n<p>If you need immediate supplies to send cases, use our downloadable supplies (or\u00a0<a href=\"#\">call us<\/a>) and send a case today.<\/p>\n<p>\u00a0<\/p>\n<a href=\"http:\/\/uniwebau.tech\/dentology\/wp-content\/uploads\/2026\/03\/Dentology-Lab-Prescription.pdf\" target=\"_blank\" class=\"button primary lowercase\" rel=\"noopener\"  style=\"border-radius:25px;\">\n    <span>Print RX Form<\/span>\n  <\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-2035821516\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-3\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"elementor-element elementor-element-d8604a4 elementor-widget elementor-widget-heading\" data-id=\"d8604a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<p class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size: 150%;\" data-text-color=\"primary\">Supplies Request Form<br \/><\/span><\/p>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-8553bb0 elementor-widget elementor-widget-text-editor\" data-id=\"8553bb0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n<div class=\"elementor-widget-container\">\n<p>If you haven\u2019t worked with us before, be sure to Select \u201cI\u2019m New\u201d if this is your first time working with us, so we know to send you an introductory Starter Kit.<\/p>\n<\/div>\n<\/div>\n\n\n<style id=\"wpforms-css-vars-846\">\n\t\t\t\t#wpforms-846 {\n\t\t\t\t--wpforms-field-border-color: rgba(0, 0, 0, 0.25);\n--wpforms-field-border-color-spare: rgba(0, 0, 0, 0.25);\n--wpforms-field-text-color: rgba(0, 0, 0, 0.7);\n--wpforms-label-color: rgba(0, 0, 0, 0.85);\n--wpforms-label-sublabel-color: rgba(0, 0, 0, 0.55);\n--wpforms-container-padding: 0px;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-radius: 3px;\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-846-custom-css\">\n\t\t\t\t#wpforms-846 {\n\t\t\t\t\t\/* Main form box *\/\r\n.wpforms-container .wpforms-form {\r\n    background: #f5f7fa;\r\n    padding: 30px;\r\n    border-radius: 12px;\r\n    max-width: 520px;\r\n    margin: auto;\r\n    box-shadow: 0 2px 12px rgba(0,0,0,0.06);\r\n}\r\n\r\n\/* Inputs *\/\r\n.wpforms-form input,\r\n.wpforms-form textarea,\r\n.wpforms-form select {\r\n    background: #eef1f4;\r\n    border: none;\r\n    border-radius: 6px;\r\n    padding: 12px;\r\n}\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-846\"><form id=\"wpforms-form-846\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"846\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/841\" data-token=\"9bcff52f358e1af01785917a1e829710\" data-token-time=\"1780414539\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-846-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-846-field_1\">Office Name <\/label><input type=\"text\" id=\"wpforms-846-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-846-field_1-error\" ><\/div><div id=\"wpforms-846-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-846-field_3\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-846-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" aria-errormessage=\"wpforms-846-field_3-error\" required><\/div><div id=\"wpforms-846-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-846-field_4\">Office Phone<\/label><input type=\"text\" id=\"wpforms-846-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-846-field_4-error\" ><\/div><div id=\"wpforms-846-field_5-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Supplies Request<\/legend><ul id=\"wpforms-846-field_5\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-846-field_5_1\" name=\"wpforms[fields][5][]\" value=\"Rx Pads\" aria-errormessage=\"wpforms-846-field_5_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-846-field_5_1\">Rx Pads<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-846-field_5_2\" name=\"wpforms[fields][5][]\" value=\"UPS Ground Shipping labels\" aria-errormessage=\"wpforms-846-field_5_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-846-field_5_2\">UPS Ground Shipping labels<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-846-field_5_3\" name=\"wpforms[fields][5][]\" value=\"USPS First Class Shipping labels\" aria-errormessage=\"wpforms-846-field_5_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-846-field_5_3\">USPS First Class Shipping labels<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-846-field_5_4\" name=\"wpforms[fields][5][]\" value=\"Shipping Boxes\" aria-errormessage=\"wpforms-846-field_5_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-846-field_5_4\">Shipping Boxes<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-846-field_5_5\" name=\"wpforms[fields][5][]\" value=\"Send a Starter Kits\" aria-errormessage=\"wpforms-846-field_5_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-846-field_5_5\">Send a Starter Kits<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-846-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-846-field_6\">Locations<\/label><input type=\"text\" id=\"wpforms-846-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-846-field_6-error\" ><\/div>\t\t<div id=\"wpforms-846-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-846-field_2\" >Special Locations Supplies<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-846-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-846-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-846-field_7\">Special Instructions<\/label><input type=\"text\" id=\"wpforms-846-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-846-field_7-error\" ><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-846-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-846-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-846-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"846\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/pages\/841\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-846\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Request Supplies\" aria-live=\"assertive\" value=\"wpforms-submit\">Request Supplies<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/dentologydmv.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2035821516 > .col-inner {\n  padding: 50px 40px 100px 40px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_681365727 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n#section_681365727 .section-bg-overlay {\n  background-color: rgb(250, 247, 247);\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-841","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/pages\/841","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/comments?post=841"}],"version-history":[{"count":8,"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/pages\/841\/revisions"}],"predecessor-version":[{"id":1047,"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/pages\/841\/revisions\/1047"}],"wp:attachment":[{"href":"https:\/\/dentologydmv.com\/index.php\/wp-json\/wp\/v2\/media?parent=841"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}