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1047 Dental Exam Record General 8 1/2 X 11"

Manufacturer: NEBS
Manufacturer Part No: 1047
1047 Dental Exam Record General
Size: 8 1/2 X 11"

These general use dental forms make it easy to record every detail of patient exams. 
Horizontal format fits easily into file envelopes for neat, organized filing.

  • Convenient dental exam forms include adult and primary tooth charts.
  • Back of form features space to list services provided and fees charged for accurate record-keeping and billing.
  • Features 1-32 numbering for easy referencing.
  • Blue ink on white bond stock.
  • Quantity: 250 forms per box.
  • 100% Satisfaction Guarantee.
  • Higher quantities are available at discounted prices.
  • Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675.
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