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Provides your patient complete information about their treatment and its risks
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Obtains written consent for your records
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Just check off applicable conditions; patient reads explanation, initials and signs
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Printed one side on 24-lb. stock
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2-hole punched at the top
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250 per package
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Size: 8-1/2×11″
| Brand : Medical Arts Press | Chart and Form Type : Treatment Log Form | Charts Paper Weight (Lbs) : 24 | Color Family : White |
| Customizable : No | Height in Inches : 11″ | Number of Pages : 250 | Paper Type : Cardstock |
| Series or Collection : Dental | Speciality Use : Dental | True Color : White/Purple | Used For : Exam/Treatments Notes |
| Width in Inches : 8.5″ | |||
| Weight : 3.11 lbs. per Pack |





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