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Patient Health History Form - Two-Sided, Two Hole Punch #4046V Quantity:3000 SIZE: 6 inches x 8

USD80.00 USD117.00
SKU 36402374385
4.3

Pay in 4 interest-free payments of $20.00 Learn more

Shipping Estimate
USA
  • USA
  • CAN

Ships within 48 hours · Estimated delivery Sep 15 - Sep 20

Description

SIZE: 6 inches x 8 inches

self-adhesive stock

SIZE: 3 inches x 24 inches

PDF TEMPLATE (6" x 11" / Horizontal

Patient Health History Form - Two-Sided, Two Hole Punch #4046V Quantity:3000 SIZE: 6 inches x 8Health history questionnaire allows you to quickly obtain comprehensive dental & medical information. Double sided. Printed on 2 sides on white ledger stock. Simple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format. Includes: 2 hole punch with check off boxes. Easy to read. Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient. Size: 8 1 2 x

Exchange/Return Notes
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  • Final sale items are not eligible for returns or exchanges.
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