Dental Health History Questionnaires, 2 Sided, No Hole Punch

Item#: 4054 Size: 8 1/2 x 11"
Quantity 250 500 1000 2000 3000
4054  Not Imprinted $117.99 $219.99 $368.99 $639.99 $907.99
We recommend this quantity.
 

Product Benefits and Features

These proven forms capture patient health history quickly & comprehensively! Questionnaire covers both dental & medical information.

  • Please note: No-hole punch.
  • Double-sided. Printed on 2 sides on white ledger stock.
  • Easy to read. Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient.
  • Simple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format.