Examination Record DDS, Vertical #1057V

Record every detail of adult and primary dentition in a horizontal format ideal for file envelopes.

• 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.
• Formatted for vertical 2-hole punch.
• Printed on sturdy ledger stock.
• Size: 8 1/2 x 11"