Health History Questionnaire - Two Sided #4054
250
$54.26
Sale price
$54.26
Regular price
$71.40
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Health History Questionnaire - Two Sided #4054
$54.26
Sale price
$54.26
Regular price
$71.40
These proven forms capture patient health history quickly & comprehensively! Questionnaire covers both dental & medical information.
- Please note: No-hole punch.
- Easy to read. Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient.
- Simple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format.
- Double-sided. Printed on 2 sides on white ledger stock.
- Size: 8 1/2 x 11"