D103 Four Page Dental Exam Record Without Treatment Size:11 x 17"
These all-purpose exam forms record detailed patient history and treatment information, and include a medical alert box at the top of each page for vital information.
Folded: 8 x 1/2 x 11"
Printed in black ink on 20lb white bond stock.
Keep thorough and accurate dental records!
4-Page record of patient history and account activity.
