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Product Description
Use this dental examination record form to keep records straight within your dental office! With anatomic and periodontic diagrams. Users can record 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 areas to summarize patient history. Back of form features space to list services provided and fees charged for accurate record-keeping and billing. This form is made of white bond stock and is surely a great way to improve your dental notes! 250 forms per box.
Product ID: 1046
Part ID: 136300
Product Details
- Additional Info: 8 1/2" x 11" record forms for dentistry - Dental Exam Records, Multi-Use
- 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 Records, Multi-Use
You Save $0.05! - Save up to $0.08!
Selected: White Blue
White Blue
Lead Time: 15 days
Price Tiers & Discount
| Quantity | Original Price | Discounted Price | Discount |
|---|---|---|---|
| 250+ | $0.41 | $0.33 | 20% OFF |
| 500+ | $0.39 | $0.31 | 20% OFF |
| 1,000+ | $0.33 | $0.26 | 20% OFF |
| 2,000+ | $0.28 | $0.23 | 20% OFF |
| 3,000+ | $0.27 | $0.22 | 20% OFF |
| 4,000+ | $0.26 | $0.20 | 20% OFF |
| 5,000+ | $0.24 | $0.19 | 20% OFF |
| 10,000+ | $0.23 | $0.19 | 20% OFF |
💡 Free Shipping: Add $417.20 more to qualify for free shipping!
💰 You Save $20.70 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.













