Patient Health History Form - Two-Sided, Two Hole Punch #4046V Quantity:250 Our Stock Refuse Sticker Combo

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Patient Health History Form - Two-Sided, Two Hole Punch #4046V Quantity:250 Our Stock Refuse Sticker ComboHealth 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