Dental Exam Record, Anatomic Diagrams, Horizontal Format

CPN-5126865

Use this dental examination record form to keep records straight within your dental office! Measuring 8 1/2" x 11", it's made of ledger stock and is a horizontal form with anatomic diagrams, primary and permanent arches. Your office can record every detail of adult and primary dentition. The front features "1-32" numbering and "a-t" lettering, and an area to summarize patient history. The back has space to list services needed or rendered and fees. This form is surely a great way to improve your dental notes!