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Home :: Forms By Service :: Health Care Forms :: Dental Exam & Account Records, Two-sided, White Ledger
Item#: 552
Size: 8 1/2 x 11"
These 2-sided dental exam & account records keep an accurate record of all the details right at your fingertips.
Durable! Printed on sturdy white ledger stock.
Double-sided form! Front has areas for medical/dental history & treatment planning. Back is service/account record.
Exam record includes: tooth charts with "1-32" & "8-1/1-8" adult numbering & "a-t" & "I-V/A-E" primary lettering.
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