Patient Health History Form - Two-Sided, Two Hole Punch #4046V
250
$51.20
Sale price
$51.20
Regular price
$80.00
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Patient Health History Form - Two-Sided, Two Hole Punch #4046V
$51.20
Sale price
$51.20
Regular price
$80.00
Health 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 11"