This horizontal-format dental exam form is ideal for file envelopes and includes detailed tooth charts, medical and dental history sections, and clinical data fields. Scored for alignment between front and back, with space for treatment planning and fees. Printed on durable white ledger stock.
Made with pride in USA
ABC Dental Exam Record, Anatomic Diagrams, Horizontal Format, White Ledger
Price range: $110.00 through $850.00
- Horizontal layout – Ideal for file envelopes and wide-format filing
- Tooth charts included – Adult (1–32) and primary (a–t) diagrams for accurate notation
- Medical & dental history – Summary areas for recording patient background
- Clinical data section – Includes gingiva, plaque, calculus, mobility, occlusion, and contact points
- Treatment planning – Back side includes columns for services and fees
- Scored alignment – Front and back align for easy reference during treatment planning
- Standard letter size – 8 1/2 x 11 inches for compatibility with office systems
- Printed on sturdy ledger stock – Durable and professional for dental practices
- Made with pride in USA
| Quantity | 250, 500, 1000, 2000, 3000 |
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