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Your cart is empty.Quickly obtain dental & medical history information with easy-to-use form. 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. White with Brown Ink. No hole punch. Size: 7 3/4 x 10" scored to easily fold to 5 x 8" card format. 250 per box.Double-sided form. Printed on both sides on white ledger stock. 250 per box.
$134.00
$ 52 .99 $52.99