Pay in 4 interest-free payments of $20.00 Learn more
Ships within 48 hours · Estimated delivery Sep 13 - Sep 18
PARTS: 2-Part (White/Yellow) 3- Part (White/Yellow/Pink)
Preprinted folders help track job progress
and your guests will be impressed
Forms are designed to prompt responses through a simple checklist format
PERFORATIONS: 2 horizontal perforations for payment return & to make folding easier
Adult Exam Record DDS, Horizontal #21012 Contract PARTS: 2-Part (White/Yellow) 3- PartRecord every detail of adult and primary dentition in a horizontal format ideal for file envelopes. Accurate charting and notes. Front features tooth charts with 1 32 numbering and a t lettering, with a summary area for patient history. Back includes space for listing services and fees. Printed on sturdy ledger stock. Size: 11 x 8 12"
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