ACTS Production Summary - CU Class of 2013 - Spring 2013

Use this online form to record the treatment you provide at your ACTS clinic Complete one form for EVERY patient.
* Required

Diagnostic and Preventive Procedures

Perio Procedures

Primary Tooth Procedures

Operative Procedures (permanent teeth)

Endodontic Procedures

Oral Surgery Procedures

Removable Procedures

Fixed Procedures

Office visits

Never submit passwords through Google Forms.