Page 83 - Binder - English for Doctors
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                                       Treatment Conference Report

                   Re:________________________________                       Date____________________


                       I.     Classification and diagnostic description of malocclusion:


                      _____________________________________________________________________
                       II  List of Problems


                       _____________________________________________________________________


                       _____________________________________________________________________


                       Treatment available


                       _____________________________________________________________________


                       _____________________________________________________________________
                       II.    Treatment sequence recommended at this time.

                   1.______________________________________________________________________


                   2.______________________________________________________________________


                   3.______________________________________________________________________


                   4.______________________________________________________________________


                   5.______________________________________________________________________
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