Dental Front Office Source - January 2012 - (Page 40)

forms (367-1172-G7) Offset Opaque Stock (Back not shown) Front (366-8423-G7) Front DENTAL RECORD FORMS • Detailed forms capture all your important clinical findings • Designed with space for clinical findings, patient histories, estimates, charting, charge information, and progress notes • Printed with green ink on 80 Lb. offset opaque stock Description 80 Lb. Offset Opaque Qty. 100/PK Back ADULT AND CHILD REGISTRATION FORMS • Comprehensive, full-color forms warmly welcome patients • Forms are updated regularly to provide you, the provider, a thorough understanding of the adult patient’s dental and medical history • Features complete insurance information with a signature for assignment benefits • Allergy section covers drugs as well as latex and metals Description Qty. Price 3@ 5@ $41.99 $37.99 $34.49 2-Sided Form 100/PK (367-1047-G7) $13.99 Price $12.99 2@ $10.49 5@ PERIODONTAL STATUS FORM (367-3559-G7) (341-5476-G7) Service Record 2-Sided PERIODONTAL STATUS FORMS • Comprehensive form includes space to record clinical indicators • 2-hole punch at top • Printed with green ink, 1-sided Description Qty. Price 2@ 100/PK $16.99 $14.99 81⁄2"W x 11"H (367-1050-G7) $12.49 5@ DENTAL RECORD CARDS • 2-Sided forms printed on sturdy 32 Lb. ledger stock Description Qty. Price 100/PK $15.99 81⁄2"W x 11"H PATIENT SIGN-IN SHEETS $14.99 2@ $13.49 5@ • Removable strip protects patient privacy • Carbon sheet transfers names to the back sheet • Available in 3 different designs Description Qty. Price 1-Sided, 81⁄2”W x 11”H 100/PK $52.99 (367-1046-G7) $50.99 2@ $47.49 5@ 40 Fax Your Order: 1.800.732.7023 24 Hours http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671172%26CatalogName%3DDENTAL%26promocode%3DG7 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3668423%26CatalogName%3DDENTAL%26promocode%3DG7 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671047%26CatalogName%3DDENTAL%26promocode%3DG7 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3673559%26CatalogName%3DDENTAL%26promocode%3DG7 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3415476%26CatalogName%3DDENTAL%26promocode%3DG7 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671050%26CatalogName%3DDENTAL%26promocode%3DG7 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671046%26CatalogName%3DDENTAL%26promocode%3DG7

Table of Contents for the Digital Edition of Dental Front Office Source - January 2012

Dental Front Office Source - January 2012
Table of Contents
Office Supplies
Break Room Products
Cleaning Supplies
Envelopes
Filing Supplies
Forms
Global Reflections
Ink & Toner
Labeling Supplies
Paper/Post-It Notes
Prescription/Statement Paper
Practice Marketing
Candy
Dental Education
Fishbowls
Patient Bags
Personalized Name Badges
Personalized Toothbrushes
Stickers
Toys

Dental Front Office Source - January 2012

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