The text on the page only makes sense in the context of the figure (a blank form). Therefore, treating this as a figure and outputting a brief description wrapped in tags. _figures/img_981143624adb73c2.webp) _figures/img_f97c545eb85ba66c.webp) <figure> The text on the page only makes sense in the context of the figure (a blank form). Therefore, treating this as a figure and outputting a brief description wrapped in <figure> tags. </figure> Blank rectangular diagram area intended for clinical illustration or schematic drawing. Lined section for writing a detailed procedural description. **Form 26** Indirect Restorative Procedure Outline *continuation* Form 26 Stage | Date, Signature and clinical code --- | --- DISCUSSION and MOUNTING | CC: (Preprocedural Temporization, Overall dentition consideration and suitability) | FORM 26 signed | CC: FINAL IMPRESSION | MMR (if necessary) | TRY IN | INSERTION | Form 26_page 2 of 2 _figures/img_98f76f4c34b42337.webp) | Stage | Date, Signature and clinical code | | --- | --- | | DISCUSSION and MOUNTING<br>(Preprocedural Temporization, Overall dentition consideration and suitability) | CC: | | FORM 26 signed | CC: | | FINAL IMPRESSION | | | MMR (if necessary) | | | TRY IN | | | INSERTION | | A structured table titled 'Stage' and 'Date, Signature and clinical code'. The rows list procedural steps: 'DISCUSSION and MOUNTING (Preprocedural Temporization, Overall dentition consideration and suitability)', 'FORM 26 signed', 'FINAL IMPRESSION', 'MMR (if necessary)', 'TRY IN', and 'INSERTION'. Each row has a corresponding empty space for dates/signatures. A large blacked-out area covers the signature fields for the last four stages. [^1]: Original PDF page 1: [[Form 26A - Indirect Restorative Procedure Outline (Fixed Pros).pdf#page=1|Form 26A - Indirect Restorative Procedure Outline (Fixed Pros), p.1]] [^2]: Original PDF page 2: [[Form 26A - Indirect Restorative Procedure Outline (Fixed Pros).pdf#page=2|Form 26A - Indirect Restorative Procedure Outline (Fixed Pros), p.2]]