Dental Exam Record, Horizontal Format

Item#: 20097 Size: 11 x 8 1/2"

Press and Drag to Zoom

Pairs well with

$00.00 was $00.00

Record every detail of adult and primary dentition on this horizontal 2-sided form.

  • Accurate charting and notes! Front features 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.