Pay in 4 interest-free payments of $20.00 Learn more
Ships within 48 hours · Estimated delivery Aug 7 - Aug 12
Large area for special instructions
Printed on thick paper stock for durability
Quickbooks Deposit Ticket available in 1 Part (white) or 2 Part (white / yellow)
BOX OF 2500 $ 12 CENTS AFTER DISCOUNT
Patient Health History Form - Two-Sided, Two Hole Punch #4046V Quantity:500 Large area for special instructionsHealth 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
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