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Doctor Stuff - Dentist Office Forms, Dental Medical History 4-Page Booklet Form, DF9444, 11' x 17' Folds to 8-1/2' x 11', 100/Package

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$41.95

$ 20 .99 $20.99

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  • 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


Doctor Stuff Dental Office Forms – Highly Detailed and Highest Quality

Our highest quality dental forms are the perfect solutions for an organized filing system and patient charting at your dental office. Our complete patient dental and medical history information in a 4 page booklet form are a great alternative to complete sets of traditional dental forms. The booklet has sections to capture important and complete personal, billing, and insurance information, initial examination results complete with full mouth/tooth charting, recommended treatments and all services rendered. The booklet is printed in gray color ink and is a great space saving alternative that is easily filed in the patient's dental chart. Compatible with IFS Filing and AMZFiling dental forms. p>

Features & Benefits:

  • Keep track of patients full dental and medical history in one convenient and easy to use booklet form
  • Booklet is printed in grey color ink to stand out within a patient's dental chart
  • IFS Filing and AMZFiling DF9444 Compatible

Specifications:

  • Size: 4-page booklet is 8-1/2" x 17" and folds to 8-1/2" x 11"
  • Quantity: 100/Package

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