Complete Record w/1 Big & 1 Small Pocket
Complete Record w/1 Big & 1 Small Pocket

Complete Record w/1 Big & 1 Small Pocket

This Complete Record comes pre-assembled with clips, 2 dividers, 1 big and 1 small pocket, and 15 assembled forms.

Available in quantities of 25. Order 500 or more and receive a 10% discount.
Your Price:$6.19
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Part Number:C520BPC

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  • 500+
  • $5.57
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 the manila folder, clips, 2 dividers, 2 pockets (1 big and 1 small) 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.

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