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Ships within 48 hours · Estimated delivery Jul 24 - Jul 29
standard weight cover stock with glossy sheen on both sides
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
Adult Primary Exam Record, Horizontal #21019 Quantity:2000 standard weight cover stock withRecord 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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