Gather patient histories and notes inside these Medical Arts Press two-fastener end-tab letter-size manila file folders. Keep important paperwork neatly organized and ready for filing with these letter-size folders. The end-tab design works perfectly with shelf filing systems, and the embedded fasteners hold documents securely in place for easy sorting. Each folder features embossed score lines and expansion capabilities to accommodate thick stacks of paper. These Medical Arts Press file folders are crafted from 11-point manila stock for added durability. • Made of 11-point manila paper stock for durability.