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Patient Health History Form - Two-Sided, Two Hole Punch #4046V HVAC Service Plan Brochures Equip employees with the information

SKU: 61756108911

4.5
USD80.00 USD121.00

Pay in 4 interest-free payments of $20.00 Learn more

Shipping Estimate
USA
  • USA
  • CAN

Ships within 48 hours · Estimated delivery Sep 15 - Sep 20

Description

Equip employees with the information they need to stay healthy and calm for the duration of the Coronavirus outbreak

Imprint Size: 4" W x 4" H

Back is white & uncoated

Comes safety sealed for extra protection

Patient Health History Form - Two-Sided, Two Hole Punch #4046V HVAC Service Plan Brochures Equip employees with the informationHealth 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

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

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