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GREY DIAGNOSIS FORM

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Organizes your diagnosis and assures notation of problems and clinical impressions seen prior to treatment. Questions for patient history are on the first page. Use the second page at clinical examination on the first visit. Record your diagnosis and treatment plan on the next three pages. The 4th and 5th pages are for your appliance diagnosis. A treatment record for thirty-six months concludes the format. Quality paper and a professional look help to develop a positive impression of your office.

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