Periodontal Complete Record

Periodontal Complete Record

The Periodontal Complete Record comes pre-assembled with clips, 2 dividers, 1 big and 1 small pocket, and 13 assembled forms.

Available in quantities of 25. Order 500 or more and receive a 10% discount.
Your Price:$5.59
Part Number:P591BPC

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  • 500+
  • $5.03
The Periodontal Complete Chart is assembled with clips, 1 manila folder, 2 dividers, 1 big and 1 small pocket, and 13 forms.  Assembled as shown.

Forms included are:  Periodontal Exam, Occlusal & Soft Tissue Exam,  Periodontal Recall Exam, HIPAA, Registration, Dental History, Medical History, Progress Notes, Appointments Necessary, Correspondence Log, Financial Arrangements, Signature on File, and Consent.

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