Heavy-duty medical records folder features a reinforced top and side tab with extra-wide reinforcing on tabs. Made entirely of 14 point manila, strong yet economical. Flexible clip fastener works like a ring binder. Flexible fastener holds up to 2" of two-hole punched documents. Papers are easy to remove and replace in this medical records folder. Copies are easy to make while papers remain in the folder. Tick marks for easy label placement.