Health History Questionnaire - Two Sided #4054 Quantity:500 File copy stays bound in

File copy stays bound in book for easy reference

Single sided UDS Meter Ticket available here

Health history record is on the back

in a horizontal format ideal for file envelopes

Color:  Matt White

Health History Questionnaire - Two Sided #4054 Quantity:500 File copy stays bound inThese 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.