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Examination Record DDS, Horizontal #20097 Contracts SIZE: 9 1/2 inches x

SKU 11389690261
4.2
Description

SIZE: 9 1/2 inches x 7 inches (including the line holes on the right & left)

Numbered in Red Ink

Available in bold color choices that will accent school or company colors

Secure seal

Examination Record DDS, Horizontal #20097 Contracts SIZE: 9 1/2 inches xRecord every detail of adult and primary dentition on this horizontal 2 sided form. Accurate charting and notes. Front features 1 32 numbering and a t lettering, with a summary area for patient history. Back includes space for listing services and fees. Printed on sturdy ledger stock. Size: 11 x 8 1 2"

Exchange/Return Notes
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