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orthodontic office design questionnaire ross orthodontic s design service is available to help you we have worked with architects and designers for the past 30 years our services have been enhanced by using the cad system the orthodontic office is a unique environment most designers don t have the knowledge and experience that is so important in the design of an efficient orthodontic office we will provide the experience and support to your architect or designer to create the most pleasant and efficient place for you and your staff to work for planning assistance call joe or bob ross 1.800.247.4109 or 972.775.8757 fax 972.775.8758 email rossortho@att.net www.rossorthodontic.com orthodontic equipment office design po box 882 midlothian tx 76065-0882

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doctor s names phone office home fax e-mail general information square footage number of doctors right-handed left-handed type of delivery system required left side over patient rear right side other number of office personnel orthodontists secretary receptionist full-time chair assistants part-time chair assistants lab techs sterilizing other number of chairs required in bay area in adult area in bonding area in consultation area in exam area in records room other number of chairs presently mfg number of units presently mfg equipment information operatory lighting elef unit mounted gooseneck polaris ceiling alger other sterilization area or sterilization room sterilizer other ultrasonic computers number where room sizes waiting room number of chairs kids area reception area business office storage room s m l xl s m l xl s m l xl s m l xl tooth brushing area number of sinks on deck area seating capacity orthodontic joe or bob ross 1.800.247.4109 or 972.775.8757 forplanningassis ta n c e ca l l

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office layout consultation room size table chairs exam chair view box sink other records room pan ceph pan-ceph cone beam i-cat exam chair delivery unit laboratory number of sinks wet lab dry lab equipment patient bathroom in suite outside of handicap required other rooms patient education room or alcove sink cabinets mirror other staff lounge sink cabinets refrigerator bathroom lockers doctor s private office desk size of chairs bathroom shower other mech room inside suite outside suite equipment location in or out of suite location in suite heating-air water heater compressor vacuum pump washer dryer nitrogen miscellaneous private entrance exit each day doctor staff front door rear door entrance each day front door rear door other fax 972.775.8758 email rossortho@att.net www.rossorthodontic.com orthodontic

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planning sheet name address orthodontic fax 972.775.8758 email rossortho@att.net www.rossorthodontic.com joe or bob ross 1.800.247.4109 or 972.775.8757 forplanningassis ta n c e ca l l

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