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Home » Spanish & International
 
Item Name: Spanish Complete Record w/ Big Pocket
Product Number: C525SBC
Price: $4.95/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. Patient forms are in Spanish and clinical forms are in English.

Must order in Quantities of 25

 
Spanish Complete Record w/ Big Pocket


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
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