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Product Description
Use this horizontal dental examination record form to keep records straight within your dental office! Users can document every detail of adult and primary dentition in a horizontal format ideal for file envelopes. The front of the 8 1/2" x 11" form features "1-40" numbering, "a-t" lettering, and a tooth charts area for clinical data, medical and dental history. The back has space to list services needed or rendered and fees. This form is printed on sturdy ledger stock and is surely a great way to improve your dental notes! This product is sold blank.
Product ID: 21023
Part ID: 135123
Product Details
- Additional Info: 8 1/2" x 11" record forms with primary arch and geometric diagrams for dentistry; sold unimprinted
- Product Length (IN): 8.5
- Product Width (IN): 11
Additional Information
Please call for special pricing on larger quantities or other file folder styles available. Call us for custom options.
Keywords
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Dental Exam Record, Primary Arch & Geometric Diagrams
You Save $0.04! - Save up to $0.07!
Selected: White
White
Lead Time: 15 days
Price Tiers & Discount
| Quantity | Original Price | Discounted Price | Discount |
|---|---|---|---|
| 250+ | $0.33 | $0.26 | 20% OFF |
| 500+ | $0.30 | $0.24 | 20% OFF |
| 1,000+ | $0.26 | $0.21 | 20% OFF |
| 2,000+ | $0.22 | $0.18 | 20% OFF |
| 3,000+ | $0.21 | $0.17 | 20% OFF |
| 4,000+ | $0.20 | $0.16 | 20% OFF |
| 5,000+ | $0.19 | $0.15 | 20% OFF |
| 10,000+ | $0.18 | $0.15 | 20% OFF |
💡 Free Shipping: Add $434.20 more to qualify for free shipping!
💰 You Save $16.45 Today!
Shipping Information
Free ground shipping to the lower 48 states applies as long as the quantity of the item ordered multiplied by the per unit price is at least $500. Otherwise a flat $100 less than the minimum charge will apply for any such item. Additional charges may apply for shipping by air or to other locations. Certain items or customizations may incur additional costs not captured during checkout and will be quoted before processing the order. Unless exempt, sales tax will apply to orders shipped to Minnesota and will be added after checkout.















