The Dental Record

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Item Name: Complete Record w/1 Big & 1 Small Pocket 1,000 qty
Quantity over 1,000
Product Number: C521BPC
Price: $4.49/ea
Qty: 
Description: The Complete Record is the most comprehensive dental package available with 15 forms to meet all your clinical, legal, financial, and administrative record keeping needs. The Chart includes two pockets and the following forms. HIPAA, Registration, Child Dental Medical history, Dental History, Medical History, Recall Exam, Clinical Exam, Periodontal Screening Exam, Treatment Plan, Problem Priority, Progress Notes, Consent Form, Signature On File, Financial Arrangements, and Correspondence Log. Completely assembled as shown.

Must order in Quantities of 25
Must order a minimum of 1000

 
Complete Record w/1 Big & 1 Small Pocket 1,000 qty


Note All forms and charts can be customized to meet your specific requirements. Please call 800-243-4675 for more information.

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Wisconsin Dental Association, 6737 West Washington Street, Suite 2360, West Allis, WI 53214
(414) 276-3954 • (800) 243-4675