SKU: 72803047976

Patient Health History Form - Two-Sided, Two Hole Punch #4046V

$72.00 $80.00
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Ships within 48 hours · Estimated delivery Jul 1 - Jul 6

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Description

Patient Health History Form - Two-Sided, Two Hole Punch #4046VHealth history questionnaire allows you to quickly obtain comprehensive dental & medical information. Double sided. Printed on 2 sides on white ledger stock. Simple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format. Includes: 2 hole punch with check off boxes. Easy to read. Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient. Size: 8 1 2 x

Patient Health History Form - Two-Sided, Two Hole Punch #4046V
Shipping Notes
  • Free Standard Shipping on $100+ Orders to the USA.
  • Except Preorder products are shipped in 48 hours.
  • Delivery to the USA:
  1. Standard Shipping : 3-10 business days
  • If time is of the essence, please consider selecting expedited delivery for faster service.
Exchange/Return Notes
  • We offer a 30-day return/exchange service after receiving.
  • Final sale items are not eligible for returns or exchanges.
  • To process your return/exchange, please contact us at [email protected]
  • Please click here for more details>>> Return & Exchange Policy
SKU: 72803047976

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4.3 ★★★★★
Based on 1803 reviews
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Product Reviews
J
Verified Purchase
Joe L.
Birmingham, US
★★★★★ 5
Works easily
Color: 5-in-1 Black, Size: Rechargeable Set
Very well made
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on June 9, 2026
J
Verified Purchase
José M.
West Palm Beach, US
★★★★★ 5
Excelente
Color: 5-in-1 Black, Size: Rechargeable Set
Muy buen producto. Lo recomiendo.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on May 24, 2026
D
Verified Purchase
Donarae Bowers
Whiting, US
★★★★★ 5
Great product
Color: 5-in-1 Black, Size: Rechargeable Set
Very easy to use, stays charged a long time. Love it
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on September 2, 2025
A
Verified Purchase
April S
New York, US
★★★★★ 1
Died after 3 months
Color: 5-in-1 Black, Size: Rechargeable Set
I gave this product to my sister for Christmas 2025 and it has already quit working. It will do the reverse but not extract. So disappointed!
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on March 29, 2026
B
Verified Purchase
B.Early
Houston, US
★★★★★ 5
Does it all
Color: 5-in-1 Black, Size: Rechargeable Set
Love it... convenient. Doesn't take up a lot of space
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on March 26, 2026

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