Dental Exam Medical Form/Chart, 8-1/2 x 11 (Folded) 50/Pack

Dental Exam Medical Form (DF9444), 8-1/2 x 11 Folded, 4-Pages

Item Number: DF9444

These dental examination charts keep accurate records of patient care and treatment. Page 1 is patient info/history, page 2 and 3 is for dental examination and treatment for chart notes. The four-page booklet is designed to fully document the medical and dental records of a patient. Folder to 8-1/2"W x 11"H booklet. Gathers important and completely personal, billing, and insurance information. Easy-to-read and fill out. These charts are made from sturdy 80lb stock and are printed on two. The overall size is 11" x 17" landscape (horizontal) format and packaged 50 forms per pack.

• Size: 11"H x 17" Wide (8-1/2 x 11 Folded)
• 80lb Stock
• Printed on all four sides
• 50/Pack