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Dental Health History Questionnaires, 2 Sided, 2 Hole Punch

Item#: Size:
Quantity 250 500 1000 2000 3000
4046V  Not Imprinted $106.99 $199.99 $334.99 $580.99 $824.99
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Product Benefits and Features

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.