UNASSEMBLED Complete Record w/ Big Pocket
UNASSEMBLED Complete Record w/ Big Pocket

UNASSEMBLED Complete Record w/ Big Pocket

Unassembled Complete Chart with forms, 1 manila folder, 2 dividers, clips, 1 big and 1 small pocket. Available in quantities of 25.
Your Price:$4.99
Part Number:C525CU

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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 one manila folder, two dividers, clips, 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. All forms, clips, pocket and manila folder are separate and ready for assembly.

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