Designed for vertical filing, this dental exam form features adult and primary tooth charts, anatomic and periodontic diagrams, and sections for clinical data, patient info, and treatment tracking. Includes PSI scoring and a recommendation checklist. Printed on durable white ledger stock.
Made with pride in USA
ABC Dental Exam Record, Anatomic & Periodontic Diagrams, Vertical Format, White Ledger
Price range: $89.00 through $857.00
- Vertical layout – Ideal for file folders with 2-hole punch formatting
- Tooth charts included – Adult (1–32) and primary (A–T) diagrams for accurate charting
- Anatomic & periodontic diagrams – Visuals for detailed notation of dental conditions
- Clinical data section – Includes oral hygiene, gingival condition, and PSI scoring
- Patient & insurance info – Fields for contact, employer, insurance ID, and account details
- Treatment tracking – Space for services rendered, charges, payments, and balance
- Recommendation checklist – Numbered list for documenting treatment plans
- Printed on sturdy ledger stock – Durable and professional for dental offices
- Made with pride in USA
| Quantity | 250, 500, 1000, 2000, 3000 |
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