Medical Arts Press® Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
- Type of form: Registration and history form
- 250 per pack
- Size: 8 1/2" x 11"
- Binding type: Loose
- Design: Welcome, Toothbrush, Teal
- Number of parts: 1
- Gathers complete personal information, dental history and insurance information plus assignment and release for account setup
- Printed both sides on 24 lbs. bond in teal ink