Patient Health History Form - Two-Sided, No Hole Punch Statement Stuffers 5” width

5” width

REFLEX BLUE

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Tumble dry on medium

thanks to plenty of preprinted areas and handy checkboxes

Patient Health History Form - Two-Sided, No Hole Punch Statement Stuffers 5” widthQuickly obtain dental & medical history information with easy to use form. Please note: No hole punch. Double sided form. Printed on both sides on white ledger stock. 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. Size: 7 3 4 x 10" scored to easily fold to 5 x 8" card format.