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Dental Exam Medical Form/Chart, 8-1/2 x 11 (Folded). 100/Pack

4-Page Medical Dental Chart Records (DF9444)
4-Sided Dental Examination Chart Form (DF9444) 100/Pack

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Price: $42.99

Availability: Usually Ships in 24 to 72 Hours
Product Code: DF9444


Dental Exam Medical Form (DF9444), 8-1/2 x 11 Folded, 4-Pages

Item Number: DF9444

These dental examination charts keep accurate records of patient care and treatment. Page 1 is patient info/history, page 2 and 3 is for dental examination and treatment for chart notes. The four-page booklet is designed to fully document the medical and dental records of a patient. Folder to 8-1/2"W x 11"H booklet. Gathers important and completely personal, billing, and insurance information. Easy-to-read and fill out. These charts are made from sturdy 80lb stock and are printed on two. The overall size is 11" x 17" landscape (horizontal) format and packaged 100 forms per pack.

  • Size: 11"H x 17" Wide (8-1/2 x 11 Folded)
  • 80lb Stock
  • Printed on all four sides
  • 100/Pack

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