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QuantityNameSKUEachTotal

Gingival Augmentation/Gum Graft Surgery $10.00 $10.00

Employment Agreement - Auxillary Staff $25.00 $25.00

Chart Audit / Inventory Rule 108.8 Compliance $10.00 $10.00

HIPAA Business Associate Agreement HPA2 $5.00 $5.00

HIPAA Consent to use and disclose protected health information HPA4 $5.00 $5.00

Informed Consent - Multi-Area Treatment (Spanish) $10.00 $10.00

Informed Consent for Crown & Bridge IC-C&B $10.00 $10.00

Duplication of Records Policy $10.00 $10.00

Informed Consent for Nitrous Oxide Anesthesia IC-ANS $10.00 $10.00

Spanish: General Dentistry Informed Consent $10.00 $10.00

Informed Consent for Dentures IC-DTR $10.00 $10.00

Informed Consent for Fixed Prosthodontics $10.00 $10.00

Consent for Teeth Whitening ldf.com white $10.00 $10.00

 
Subtotal $135.00
Total $135.00

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