EXAM & RECORD FORMS CLINICAL FORMS Back Back Front 8"W x 5"H (Folds to 8"W x 5"H) 80 Lb Offset Opaque Stock - 2 Sided Green Ink (369-0027)��������������������������������������������������������������������100 per Pkg. 5 Pkg.@ 22.99 20.99 DENTAL RECORD CARDS Detailed tooth illustrations let you quickly record changes in a patient's condition. Front (100-3289) (369-0033) Opaque Stock Front Back 8"W x 5"H 110 Lb Index Card Stock - 2 Sided Red Ink (100-3289) �������������������������������������������������������������������� 100 per Pkg. 18.99 5 Pkg.@ 16.99 Front (100-9512) (369-0030) Opaque Stock Front (Back not shown) DENTAL RECORD FORMS * Detailed form captures all of 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 80 Lb. Opaque Card Stock�����������������������������������100 per Pkg. 5 Pkg.@ Specify: (369-0030) (369-0033) 22.99 20.99 Back 6"W x 4"H 110 Lb. Index Card Stock-2 Sided Red Ink (100-9512) ��������������������������������������������������������������������100 per Pkg. For Imprinted Materials, contact: professional.promotions@henryschein.com 20DC2250_Clinical_Forms_p134-148 copy_cjb.indd 137 5 Pkg.@ 14.99 12.99 To order, visit: www.henryscheindental.com 137 3/13/20 3:35 PMhttp://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3690027%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D3690027 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D1003289%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D1003289 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3690033%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D3690033 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D1003289%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D1003289 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D1009512%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D1009512 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3690030%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D3690030 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3690030%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D3690030 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3690033%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D3690033 http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D1009512%26CatalogName%3DDENTAL%26utm_source%3DDental%26utm_medium%3DNxtbook%26utm_campaign%3Dpracticemarketing20202021%26utm_term%3D1009512 http://www.henryscheindental.com