Health History Questionnaire - Two Sided #4054 Quantity:500 Elastic Ties on Both Ends
Description
Elastic Ties on Both Ends
SIZES: 8 inches x 12 inches
Larger format gives you extra room
Single sided UDS Meter Ticket available here
Health History Questionnaire - Two Sided #4054 Quantity:500 Elastic Ties on Both EndsThese proven forms capture patient health history quickly & comprehensively! Questionnaire covers both dental & medical information. Please note: No hole punch. 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. Double sided. Printed on 2 sides on white ledger stock.
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