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Specification
Brand : 5Forms
BulletPoint : Health history questionnaire allows you to quickly obtain comprehensive dental & medical information Double-sided. Printed on 2 sides on white ledger stock Includes: 2-hole punch with check-off boxes
ExternallyAssignedProductIdentifier : 00810151602738
ItemName : 5Forms 4046V Dental Health History Questionnaires 2 Sided 2 Hole Punch 8 1/2 x 11" Qty 250
ItemPackageQuantity : 1
ItemTypeKeyword : business-claim-forms
Manufacturer : NEBS
ModelNumber : 4046V
NumberOfItems : 250
PartNumber : 4046V
ProductDescription : Simple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format. Easy to read. Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient. Changed from Brown Ink to Black Ink. 250 Per Box.
ProductSiteLaunchDate : 2024-05-24T18:55:28.620Z
Size : 8 1/2 x 11"
SupplierDeclaredDgHzRegulation : not_applicable
UnitCount : 250
WarrantyDescription : 90 Days