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"
Patient Health History Form - Two-Sided, Two Hole Punch #4046V
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| QTY | 250 | 500 | 1000 | 2000 | 3000 | 4000 | 5000 | 10000 |
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| PRICE EA | $0.28 | $0.26 | $0.22 | $0.19 | $0.19 | $0.17 | $0.16 | $0.16 |
