Oral/Dental Record

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$29.95
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1 – 4$29.95
5 +$26.75
SKU: CFS11-1P
$29.95

UPDATED 2021

Briggs Oral/Dental Record form provides for documentation of the initial assessment of the resident's teeth and oral status, with a prompt for completion of Section L of the MDS 3.0 Item Set.

The form also provides for the documentation of dental consultations as well as status updates of the resident's condition during his/her stay in the facility.


Download a sample today!

  • 8-1/2" x 11"
  • printed two sides different
  • 5-hole punched top and side
  • 100/pad

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