Description
COMPLETE PATIENT DENTAL CHART in an easy to fill out 4 page booklet form. The booklet has sections to capture important and complete personal, billing, and insurance information, initial examination results, recommended treatments and all services rendered..SPACE SAVING option versus traditional pre-assembled patient dental charts..MEDICAL RECORD COMPATIBLE: This form is designed to work with your medical records system. Form is 8-1/2" x 17 that folds to 8-1/2 in. x 11 in., and is printed in gray on all four sides. 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 DF9444
