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Loft gallery Minimal four

Patient Health History Form - Two-Sided, No Hole Punch Quantity:4000 list parts

USD71.40 USD112.40
SKU 6999062473
4.5

Pay in 4 interest-free payments of $17.85 Learn more

Shipping Estimate
USA
  • USA
  • CAN

Ships within 48 hours · Estimated delivery Sep 22 - Sep 27

Description

list parts

Special columns for list and net prices

SIZE: 8 1/2 inches x 11 inches

Royal Reflex Blue

Patient Health History Form - Two-Sided, No Hole Punch Quantity:4000 list partsQuickly obtain dental & medical history information with easy to use form. Please note: No hole punch. Double sided form. Printed on both sides on white ledger stock. Checklist format. Forms are designed to prompt responses through a simple checklist format; dentist can quickly scan the completed form & identify problem areas to discuss with the patient. Size: 7 3 4 x 10" scored to easily fold to 5 x 8" card format.

Exchange/Return Notes
  • We offer a 30-day return/exchange service after receiving.
  • Final sale items are not eligible for returns or exchanges.
  • To process your return/exchange, please contact us at [email protected]
  • Please click here for more details>>> Return & Exchange Policy

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