Dental Examination Records
Item # FKCRH-TQHXB
This dental exam form, complete with adult & child tooth charts, is great for recording patient findings and follow-up care. Users can record every detail of dentition for file envelopes. The front of the 11" x 8 1/2" horizontal form features areas to summarize patient history. Back of form features space to list services provided and fees charged for accurate record-keeping and billing. This form is made of white bond stock with green ink. Quantity - 250 examination records per box. 8.5" L x 11" W
| Quantity: | 250 | 500 | 1,000 | 2,000 | 3,000 | 4,000 |
|---|---|---|---|---|---|---|
| Your Price (each): | $0.40 | $0.38 | $0.32 | $0.27 | $0.26 | $0.25 |
Additional charges may apply.
White, Green
Dentist, Health, Business, Office
Decoration not included in price.
Production Time: 6 to 9 working days
Packaging: Bulk
60018 (Illinois, United States)