First Name: {formtext: name=firstname; default=John} Last Name: {formtext: name=lastname; default=Smith} came today for exam and impression for sleep appliance.
{formmenu: Upper; Lower; Upper and Lower} impressions and bite registration was taken.
First Name: {formtext: name=firstname; default=John} Last Name: {formtext: name=lastname; default=Smith} came today for exam and impression for sleep appliance.
{formmenu: Upper; Lower; Upper and Lower} impressions and bite registration was taken.