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Questionnaire covers both dental & medical information
The SAME DAY SHIP UDS Meter Ticket comes standard as printed and is not customizable
Our detailed signature release labels match ADA claim forms for faster
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Adult Primary Exam Record, Horizontal #21019 Quantity:2000 Questionnaire covers both dental &Record every detail of adult and primary dentition in a horizontal format ideal for file envelopes. Accurate charting and notes. Front features tooth charts with 1 32 numbering and a t lettering, with a summary area for patient history. Back includes space for listing services and fees. Printed on sturdy ledger stock. Size: 11 x 8 1 2"
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