{"product_id":"patient-health-history-form-two-sided-two-hole-punch-4046v","title":"Patient Health History Form - Two-Sided, Two Hole Punch #4046V","description":"\u003cp\u003e \u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\" style=\"text-align: left;\"\u003e\u003cspan style=\"color: #000000;\"\u003eHealth history questionnaire allows you to quickly obtain comprehensive dental \u0026amp; medical information.\u003c\/span\u003e\u003c\/p\u003e\n\u003cul data-mce-fragment=\"1\"\u003e\n\u003cli data-mce-fragment=\"1\" style=\"text-align: left;\"\u003eDouble-sided. Printed on 2 sides on white ledger stock.\u003c\/li\u003e\n\u003cli data-mce-fragment=\"1\" style=\"text-align: left;\"\u003eSimple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format.\u003c\/li\u003e\n\u003cli data-mce-fragment=\"1\" style=\"text-align: left;\"\u003eIncludes: 2-hole punch with check-off boxes.\u003c\/li\u003e\n\u003cli data-mce-fragment=\"1\" style=\"text-align: left;\"\u003eEasy to read. Dentist can quickly scan the completed form \u0026amp; identify problem \"yes\" areas to discuss with the patient.\u003c\/li\u003e\n\u003cli data-mce-fragment=\"1\" style=\"text-align: left;\"\u003eSize: 8 1\/2 x 11\"\u003c\/li\u003e\n\u003c\/ul\u003e","brand":"American Business Forms \u0026 Envelopes","offers":[{"title":"250","offer_id":68179803504674,"sku":"rzp1791550998636","price":51.2,"currency_code":"USD","in_stock":true},{"title":"500","offer_id":68179803537442,"sku":"cgn1791550998637","price":88.45,"currency_code":"USD","in_stock":true},{"title":"1000","offer_id":68179803570210,"sku":"gov1791550998638","price":172.5,"currency_code":"USD","in_stock":true},{"title":"2000","offer_id":68179803602978,"sku":"qms1791550998639","price":270.9,"currency_code":"USD","in_stock":true},{"title":"3000","offer_id":68179803635746,"sku":"rxh1791550998640","price":419.25,"currency_code":"USD","in_stock":true},{"title":"4000","offer_id":68179803668514,"sku":"ntd1791550998641","price":608.3,"currency_code":"USD","in_stock":true},{"title":"5000","offer_id":68179803701282,"sku":"odk1791550998642","price":609.7,"currency_code":"USD","in_stock":true},{"title":"10000","offer_id":68179803734050,"sku":"hba1791550998643","price":1067.5,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0887\/4937\/5522\/files\/patient-health-history-form---two-sided-two-hole-punch-4046v_1.jpg?v=1791551004","url":"https:\/\/fluidplywear.shop\/products\/patient-health-history-form-two-sided-two-hole-punch-4046v","provider":"My Store","version":"1.0","type":"link"}