Description
DETAILED FORM to record your patients dental history and treatment information. A full mouth / tooth diagram on the form helps allows the dentist to indicate exam results, and the additional space next to the diagram can be used to document treatment plans and completion dates..QUICKLY FILE in the patient's dental chart using the two pre-punched holes at the top of the form..MEDICAL RECORD COMPATIBLE: This form is designed to work with your medical records system. Form is 8-1/2 in. x 11 in., printed in green on one side and has two holes on the top to fit into patient record. 100 forms per package..PERFECTLY ORGANIZED: Our series of dental forms ensure that your practice will have all the necessary documentation needed to capture important patient information while following HIPAA guidelines. These forms help create an easy and effective filing system for office and patient chart information..COMPATIBLE: This form is compatible with AMZFiling and IFS Filing Item 27009
