Health History Questionnaire - Two Sided #4054 Quantity:500 Larger format gives you extra

Larger format gives you extra room

Single sided UDS Meter Ticket available here

Elastic Ties on Both Ends

SIZES: 8 inches x 12 inches

in a horizontal format ideal for file envelopes

Health History Questionnaire - Two Sided #4054 Quantity:500 Larger format gives you extraThese 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.