Medical Clinical Forms

Blue ink on white bond stock.
Back of form features space to list services provided and fees charged for accurate record-keeping and billing.
Convenient dental exam forms include adult and primary tooth charts.
Quantity: 250 forms per box.

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Convenient dental exam forms include adult and primary tooth charts.
Back of form features space to list services provided and fees charged for accurate record-keeping and billing.
Blue ink on white bond stock.
Features 1-32 numbering for easy referencing.

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Format Form does not have account record columns.
Stock: Buff ledger.
Printed: On two sides In black ink.
Style: Letter style, General practice form.

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Array ( [product_id] => 32692 [thumb] => https://www.printez.com/image/cache/data/2411-330x330.jpg [name] => Ear Nose & Throat Specialty Exam Records Letter Style [description] => Benefits and Features Specific ear, nose & throat exam record provides all the fiel.. [price] => $77.99 [special] => [tax] => $0.00 [product_options] => Array ( [product_option_id] => 124199 [product_option_value] => Array ( [0] => Array ( [product_option_value_id] => 1800340 [option_value_id] => 0 [name] => 100 [name_sku] => 2411-1 [image] => [quantity] => 100 [subtract] => 0 [price] => 77.99 [price_prefix] => [weight] => 0.00000000 [weight_prefix] => ) [1] => Array ( [product_option_value_id] => 1800341 [option_value_id] => 0 [name] => 250 [name_sku] => 2411-1 [image] => [quantity] => 250 [subtract] => 0 [price] => 118.99 [price_prefix] => [weight] => 0.00000000 [weight_prefix] => ) [2] => Array ( [product_option_value_id] => 1800342 [option_value_id] => 0 [name] => 500 [name_sku] => 2411-1 [image] => [quantity] => 500 [subtract] => 0 [price] => 200.99 [price_prefix] => [weight] => 0.00000000 [weight_prefix] => ) [3] => Array ( [product_option_value_id] => 1800343 [option_value_id] => 0 [name] => 1000 [name_sku] => 2411-1 [image] => [quantity] => 1000 [subtract] => 0 [price] => 316.99 [price_prefix] => [weight] => 0.00000000 [weight_prefix] => ) [4] => Array ( [product_option_value_id] => 1800344 [option_value_id] => 0 [name] => 2000 [name_sku] => 2411-1 [image] => [quantity] => 2000 [subtract] => 0 [price] => 586.99 [price_prefix] => [weight] => 0.00000000 [weight_prefix] => ) ) [option_id] => 34513 [name] => 1 Option [type] => radio [value] => [required] => 1 [option_information] => ) [minimum] => 1 [rating] => 0 [href] => https://www.printez.com/seville-jutecanvas-tote.html [text_reviews] => 0 [model] => 2411 [bestseller] => [prod_desc] =>

Handy!
Printed without Account Record columns.
Double-sided forms.
Printed on 2 sides in letter format with black ink on buff ledger stock.
Exam record features: ruled back to record subsequent visits & findings after the initial exam.

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Style: Letter style, General practice form.
Printed: On two sides In black ink.
Packaging: 50 Sheets per pad.
Format: Form does not have account record columns.
Stock: Buff ledger.

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Back of form is blank for additional notes and patient details.
Shrinkwrapped 250 per pack.
Heavy ledger stock printed in brown ink.
Size: 5 1/2" x 8 1/2".

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Double-sided forms.
2-sided format, 28# ledger stock.
Quantity: 100 registration forms per pad.

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Double-sided forms.
Compact, 2-sided record includes patient information, dates, services rendered, fees, credits & account balance.
Color format: Printed in green ink on durable white stock.

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Format: Letter style printed in black ink on buff ledger stock.
Please note: Account record not included.

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Format: Folder style.
Size: 9 1/2" x 8"; folds to 5" x 8".
Durable 24 lb. buff ledger stock.
When folded, patient name is visible at top for easy locating.
Medical record formatting on front and back includes columns for dates, visits, findings and account record-keeping.

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Please note: Account record not included.
Format: Letter style.
Durable! 24 lb. buff ledger stock.
Handy records!
Columns for dates, visits & findings on back.

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