This folder-style dental exam form features quadrant-based charting using Numbered Teeth System C, with sections for patient info, treatment notes, time tracking, and account records. Folds for card drawer filing and includes a ruled back for additional documentation. Printed on smooth white ledger stock.
Made with pride in USA
ABC Dental Exam Record, Numbered Teeth System C, Folder Style, White Ledger
Price range: $121.00 through $833.00
- Numbered Teeth System C – Uses quadrant circles for detailed charting of teeth 1–32
- Folder-style format – Folds for convenient card drawer filing and storage
- Treatment & time tracking – Includes fields for procedure descriptions and time spent
- Account section – Columns for charges, payments, and balance
- Patient & referral info – Fields for contact details and referring physician
- Remarks area – Blank space for additional notes or observations
- Ruled back – Extra space for continuation notes and documentation
- Printed on smooth white ledger stock – Durable and professional appearance
- Made with pride in USA
| Quantity | 100, 250, 500, 1000, 2000 |
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