CLINICAL FORMS CLINICAL FORMS Exam & Record Forms A 367-9762 Offset Opaque Stock 367-5533 Index Card Stock B Back Front Back A–B. CLINICAL PATIENT CHARTS • Letter-size charts allow for plenty of space to record comprehensive and permanent patient records • 2-sided forms include room for clinical findings, patient histories, and charge information among others • Printed with green ink on 80 Lb. offset opaque stock or heavy-duty 110 Lb. index stock • Size: 81⁄2”W x 11”H Description 80 Lb. Opaque Stock 110 Lb. Index Stock Qty. 100/PK 100/PK Price $21.79 $25.99 2@ $20.79 $24.99 5@ $18.79 $22.99 Front DENTRIX® Get IN TOUCH with a more Profitable Practice Exclusively from Henry Schein See page 335 for more details. 134 www.henryscheindental.com 367-3554 Offset Opaque Stock 367-6663 Index Card Stockhttp://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3679762%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3675533%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3673554%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3676663%26CatalogName%3DDENTAL http://www.henryscheindental.com