depot pull
Pay in 4 interest-free payments of $17.85 Learn more
Ships within 48 hours · Estimated delivery Sep 12 - Sep 17
Printed on sturdy bond stock
REFLEX BLUE
The Work Wave LRN Form comes standard printed with Reflex Blue and is IN STOCK for same day shipping
875 inches
logo or advertising information
Patient Health History Form - Two-Sided, No Hole Punch Statement Stuffers Printed on sturdy bond stockQuickly 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.