X-Treme Smile® Intake Forms

Our professional intake forms provide complete documentation for safe and responsible teeth whitening. They help you record essential medical and dental information, ensuring you fully understand your client before starting treatment. 🦷📄

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📚 Comprehensive & Complete

The forms include all key fields needed for a safe procedure:

  • 👤 Personal details
  • 🦷 Dental history
  • 💊 Medical background & anamnesis
  • 📋 Screening questions

⚖️ Legal Protection

By documenting the correct information, these forms help you stay legally protected and ensure clients are properly informed.

📌 Features – X-Treme Smile® Intake Forms

  • 📄 Format: Designed for all essential treatment information
  • 🧾 Contents: Personal details, medical/dental history, anamnesis
  • 📦 Quantity: 25 forms per pack
  • 🔒 Exclusive: For certified X-Treme Smile practitioners only

✔ A Professional Start to Every Treatment

The X-Treme Smile® Intake Forms help you work safely, responsibly and professionally—while building trust and clarity with your clients.

2020326

Data sheet

Quantity
25 stuks per verpakking
Size
A5 - (148 x 210 mm.)
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