SKU:59788995328

Patient Health History Form - Two-Sided, Two Hole Punch #4046V

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Regular price $80.00 USD
Regular price $126.00 USD Sale price $80.00 USD
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Shipping Estimate
USA
  • USA
  • CAN

Ships within 48 hours · Estimated delivery Jul 13 - Jul 18

Description

Patient Health History Form - Two-Sided, Two Hole Punch #4046VHealth 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

These forms come with the option to have consecutive numbering printed on them

The 100 lb C2S Gloss Text Stock is a thicker paper weight stock with a glossy sheen on both sides

BOX OF 400   $ 25 CENTS AFTER DISCOUNT

Quantity: 100 gloves per box

PRINT COLORS: Yellow Vinyl with Black Ink

Color: White

The MAA Meter Ticket comes standard with one color

Last part is durable tag stock for tracking jobs and calculating profit

Our smaller format dental re-exam forms make it easy to update patient records

Royal Reflex Blue

COLORS: Yellow

The Dispatch Ticket #2 (Printed on Back) comes standard with one color to choose from

Easy Shipping

Quick Dispatch:

Your Patient Health History Form - Two-Sided, Two Hole Punch #4046V orders ship within 1-2 business days.

Delivery Options:

  • Standard: 3-7 business days
  • Fast: 2-3 business days
  • Express: 1-2 business days

Order Tracking:

You'll receive a tracking link by email once your Patient Health History Form - Two-Sided, Two Hole Punch #4046V ships.

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Exchange/Return Notes
  • We offer a 30-day return/exchange service after receiving.
  • Final sale items are not eligible for returns or exchanges.
  • To process your return/exchange, please contact us at [email protected]
  • Please click here for more details>>> Return & Exchange Policy