ACTS Production Summary - CU Class of 2014 - Spring affiliation 2014

Use this online form to record the treatment you provide at your ACTS clinic Complete one form for EVERY patient. If you're tabbing from one field to the next while doing something else, please look at the screen when you stop to enter a number. If you just count taps of the tab key without looking, you may enter a stainless steel crown when you meant to enter a sedative filling.
* Required






Diagnostic and Preventive Procedures

Please only enter one type of exam for this patient visit.












Perio Procedures








Primary Tooth Procedures








Operative Procedures (permanent teeth)














Endodontic Procedures

If you didn't obturate today, please scroll down to the "Office visits" section of this form and enter today's patient visit there! (I added this field later, so it's not nested directly below here, the way the removable visit is.)





Oral Surgery Procedures

If you didn't actually provide one of these procedures, but this was a surgery related visit, please scroll down to the "Office visits" section of this form and enter today's patient visit there! (I added this field later, so it's not nested directly below here, the way the removable visit is.)









Removable Procedures

If you didn't deliver a prosthesis today, please use the "Prosth records visit" field, located just below the space where you're reading this text right now.









Fixed Procedures

If you didn't cement a restoration today, please scroll down to the "Office visits" section of this form and enter today's patient visit there! (I added this field later, so it's not nested directly below, the way the removable field was nested.)




Office visits






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