Looseleaf Binder
• Choose hardcover (shown) or flexible
• Add or remove sheets as needed
• Durable 30 Lb. paper
• 2 binder formats—hardcover or flexible
• Store up to 2 years in hardcover binder
• Universal 7-ring configuration

Wirebound Book
• Durable 30 lb. paper
• Securely bound pages
• Easy-to-clean, tough vinyl cover
• Bonus monthly index tabs

Call us to place your DayScan^® order or complete and fax this sheet.

Choose the appointment length your practice prefers.
10 minutes per appointment, 15 minutes per appointment
Select the number of office staff you are scheduling for each day (number of columns per day).
4, 6
Choose the start and end times for your appointment day.
10-minute appointments: 7 am–6 pm, 8 am–7 pm
15-minute appointments: 7 am–7 pm, 8 am–8 pm
Select the calendar year for which you will be scheduling.
2017, 2018, 2019
Select a looseleaf or wirebound book format.
Looseleaf, Wirebound
Choose a cover color for your book. If you are purchasing looseleaf pages, is it recommended, but not required, that you purchase a binder. (see previous page for colors and styles)