Product Information
Description
- Type of form: Dental registration and medical history form
- 250 per pack
- Size: 8 1/2" x 11"
- Binding type: Loose
- Number of parts: 1
- At the initial visit, obtain a medical history, as well as pertinent personal, financial and insurance information all on one form
- Features four medical history updates on back
- Printed on white ledger stock
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Additional Information
