UNASSEMBLED Basic Record/with small pocket

The Basic Record's 9 forms cover the most essential record keeping requirements with the option to supplement with additional forms at any time. The 9 forms included are as follows: HIPAA, Registration, Dental History, Medical History, Clinical Exam, Recall Exam, Periodontal Screening Exam, Progress Notes, and Problem Priority. The chart comes with one manila folder, one divider, clips and one pocket. All forms, clips, pocket and manila folder are separate and ready for assembly.