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Attending Dentist's Statements

authorized by the ADA



2012 Series NEW!!
1200 1200 1200
ITEM
NUMBER
FORMS/PACK DESCRIPTION
1200 2500 LASER CUT SHEET
12001 1000 LASER CUT SHEET
1201 2500 1-PART CONTINUOUS
12011 1000 1-PART CONTINUOUS
1202 1000 2-PART CONTINUOUS
  Use 2003ES Self-Seal Envelopes with this form.

2006 Series
2601 2601 2601
ITEM
NUMBER
FORMS/PACK DESCRIPTION
2600 2500 LASER CUT SHEET
26001 1000 LASER CUT SHEET
2601 2500 1-PART CONTINUOUS
26011 1000 1-PART CONTINUOUS
2602 1000 2-PART CONTINUOUS
  Use 2003ES Self-Seal Envelopes with this form.


The American Dental Association (ADA) has authorized a number of different claim/attending dentist's forms over the years. We inventory those versions that are supported by the greatest number of dental software packages.


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