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Dental Health History Questionnaires, 2 Sided, No Hole Punch

Item#: Size:
Quantity 250 500 1000 2000 3000
4046  Not Imprinted $77.99 $145.99 $244.99 $424.99 $602.99
We recommend this quantity.
1.  Quantity
 

Product Benefits and Features

Quickly obtain dental & medical history information with easy-to-use form.

  • Double-sided form. Printed on both sides on white ledger stock.
  • Size: 7 3/4 x 10" scored to easily fold to 5 x 8" card format.
  • Please note: No hole punch.
  • Checklist format. Forms are designed to prompt responses through a simple checklist format; dentist can quickly scan the completed form & identify problem areas to discuss with the patient.