Follow-the-arrow format makes this form easy for patients to complete and for staff to spot missing items.

F001 - Patient Registration & Consent


Follow-the-arrow format makes this form easy for patients to complete and for staff to spot missing items. Key features: Separate registration for adults and minors, insurance box, marketing information, collection-tracing data, and a general consent-for-treatment authorization on the back -- all conveniently located on one color-coded form. Each package contains 200 sheets.

Price: $29.50
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 Other Items from Clinical Records

  F015 - Medical/Dental History - This two-sided questionnaire pinpoints potential medical complications and gathers complete profile of patient's dental needs and concerns.
  F016 - Co-diagnostic Examination of Definition - The definitive co-diagnosis tool that eliminates piece-meal dentistry!
  F017 - Consultation Preparation - The missing link to powerful treatment presentations.
  F018 - Child Medical/Dental History Form - The most comprehensive form for recording a child's dental and medical history.
  F001 - Patient Registration & Consent - Follow-the-arrow format makes this form easy for patients to complete and for staff to spot missing items.
  F003 - Initial Clinical Examination / Soft Tissue Exam - This innovative form does more than just record initial clinical observations -- it increases treatment acceptance by documenting the patient's motivators and concerns regarding dental care.
  F004 - Record of Treatment with payment column - Simple, open-ended format makes treatment documentation easy.
  F005-A - Periodontal Examination without case type - Provide and document complete periodontal care by using this comprehensive form. Boxes are provided to record pocket depth, furcation, recession, mobility, hygiene and exudate on an on-going basis.
  F005-B - Periodontal Examination with case type - Offer more complete periodontal care by using this comprehensive form. Ample space is provided to record pocket depth and comments on an on-going basis.
  F006 - Diagnosis and Treatment Planning - The one form that makes communication foolproof between the front and back office (no more interruptions by your busy receptionist!).
  F007 - Record of Treatment without payment column - Simple, open-ended format makes treatment documentation easy.

 

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