Home > DENTAL > Dental Forms >

Dental Chart with Forms
Dental Chart with Forms


 
Alternative Views:


FREE SHIPPING
List Price: $125.00
Your Price: $89.95
You Save $35.05!
Unit Qty: 25
Unit: BOX
Overall Dimensions: 9-1/2" h x 12-1/4" w


Product Code: 26999
Qty:

Description Freight, Returns & Sales Tax Policies
 
8 Color Coded Forms / Folder with Left Pocket / 1 Divider with Twin Prong Fastener / 1 Fastener / Poly Pocket
Colors & Features
  • Complete Dental Form System W/Folder.
  • This preassembled chart contains the most popular dental forms which are designed to keep information accurate and consistent for each patient. (Each form is also sold separately.) Pre-assembled Dental System makes your practice more efficient!
  • Our popular, preassembled chart contains all the necessary forms a dental office needs, and costs less than purchasing each seperately.

    Each preassembled chart includes:
    Durable 11 PT. pocket folder with a 2" bonded fastener; a file divider with a twin prong fastener; and a 5 ml poly pocket 8 3/4"W x 5 1/2"H
  • Patient Registration- gathers complete personal, billing and insurance information.
  • Recall Examination- updates health information, exam history, x-ray history, hygiene instructions and more at subsequent visits.
  • Progress Notes-columns record tooth, anesthetic given and treatment documentation.
  • Health History Update- documents changes in health or medication.
  • Correspondence Log- tracks corrrespondence sent or received by the office.
  • Clinical Examination- documents patient's first visit, including chief complaint and existing or previous condition.
  • Treatment Plan with Chart-records exam on a diagram with additional space to document treatment plans and completion dates.
  • Health History- details medical and dental condition questions, previous dental treatments and more.

  • Complete charts 25 per box

Products Frequently Bought Together
Custom 6 Tab Fileback Set Medi-Clip/Docu-Clip 36" Wide File Shelving Double Ply Top Tab Pocket
Your Price: $3.18

Add
Your Price: $42.50

Add
Your Price: $725.00

Add
Your Price: $59.50

Add
<!004>Custom 6 Tab Fileback Set Docuclip  Fastener 36 Single Entry Letter Size 4 Post Starter Unit Double Ply Top Tab Pocket
ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) 11 pt 2 Ply Color End Tab Folders Outguides Heavy Duty Vinyl Stick-On Pockets
Your Price: $175.00

Add
Your Price: $235.00

Add
Your Price: $79.50

Add
Your Price: $36.00

Add
ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) 11pt Reinforced Solid Color End Tab Folders Outguides Heavy Duty Vinyl Stick-On Pockets
Alpha Label Barkley Match Times 2 Speed Cabinet Poly Stick-On Pockets End Tab Expansion Pockets
Your Price: $12.95

Add
Your Price: $4,500.00

Add
Your Price: $24.00

Add
Your Price: $79.00

Add
Barkley FABKM Match Times 2 Speed Files Poly Stick-On Pockets <!001>End Tab Expansion Pockets
Numeric Label Custom 6 Tab Divider Set ALLERGY LABEL Custom 8 Tab Poly Divider Set
Your Price: $19.95

Add
Your Price: $2.10

Add
Your Price: $10.95

Add
Your Price: $4.69

Add
Numeric Label <!004>Custom 6 Tab Divider Set ALLERGY LABEL <!010>Custom 8  Tab Poly Divider Set
TAB Match Year Label Radiology Jacket Month Label Bilingual Privacy Patient Sign-In
Your Price: $13.95

Add
Your Price: $85.00

Add
Your Price: $10.95

Add
Your Price: $66.95

Add
Year Label Radiology Jacket Non-Color Coded Month Label Bilingual Privacy Patient Sign-In
ACS Sliding Lateral Track 11 pt Manila 2 Ply End Tab 14 pt Manila 2 Ply End Tab
Your Price: $6,500.00

Add
Your Price: $42.95

Add
Your Price: $45.95

Add
ACS Lateral Track Movable Shelving Systems Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Heavy Duty 14 pt Manila 2 Ply End Tab Folder

Share your knowledge of this product with other customers... Be the first to write a review

Browse for more products in the same category as this item:

DENTAL > Dental Forms
DENTAL > Dental Patient Charting
DENTAL > Dental Forms > Dental Exam & Treatment Forms
DENTAL > Dental Forms > Dental Patient Forms
DENTAL > Dental Patient Charting > Dental Chart Folders
DENTAL