These are great to use with the regular folders for my medical records. I bought them separately, because the price of finished products is much higher, and I regularly open new clients. The only problem I have is placing them too close or too far from the inside fold of the binder. A few of my first attempts look rough and all the papers are folded out of shape. The actual product is very strong, stays in place and looks like high quality glue and strong metal.
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