Simplified Notes

LeeMark Dental Simplified Notes

Save Time and Money With Simplified Notes

Simplified Notes can be easily attached to your existing patient record. Simply peel off the back to expose the adhesive and apply it to your record. You may want to consider our start-up kit, which is discounted from the individual form price and is an excellent value, available to new customers only. Also included in the kit is a file case to conveniently organize and store the forms. We're sure you realize the benefits of well documented procedures. We think you'll find the Simplified Note System to be an invaluable aid toward legible, consistent patient records! Questions? Call us at (866) 533-6275.

This Start-up kit used by Dr. Massad includes 25 each of notes listed to the right.

25-#2007 Edentulous exam
25-#1019 Occlusal splint
25-#1020 Attest form
25-#1021 Wax try-in release
25-#1017 Edentulous mouth
25-#1200 For Denture Wearers Only Patient Pamphlet

Order #	Item	Price for 50	Price for 100
1001	Crown & Bridge Prep	$12.00	$19.50
1002	Composite	$12.00	$19.50
1003	Amalgam	$12.00	$19.50
1005	Crown & Bridge Cement	$12.00	$19.50
2007	Edentulous Exam 62 Point Comprehensive Exam Form	Includes One Laminate Exam guide and 25 color forms	$24.95
2011	Recare/Prophy	$12.50	$19.50
2012	PerioScale/RT PL	$12.00	$19.50
1013	Clinical Screen	$12.00	$19.50
1015	Treatment Plan	$10.00	$15.50
1014	Adult Detention	$12.00	$19.50
1018	Primary Detention	$12.00	$19.50
2016	Decline X-Rays	$ 8.00	$11.00
3016	Decline Perio	$ 8.00	$11.00
1008	Endo Exam	$12.50	$21.50
1009	Endo Treatment	$12.50	$21.50
1010	Perio Exam	$12.50	$21.50
1200	Denture Pamphlet	$24.00	$36.00
1016	Patient Update	$ 8.00	$11.00
1020	Attest	$12.00	$19.95
1006	Extraction	$12.00	$19.50
Sample Pack	Includes one of each General Practice Forms	$ 5.00
We can create Custom Forms for your office. Call Kellie at 866-533-6275