Dental Health History Questionnaires, 2 Sided, 2 Hole Punch

Item#: 4046V Size: 8 1/2 x 11"

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$00.00 was $00.00

Health history questionnaire allows you to quickly obtain comprehensive dental & medical information.

  • Double-sided. Printed on 2 sides on white vellum stock.
  • Easy to read. Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient.
  • Includes: 2-hole punch with check-off boxes.
  • Simple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format.