SKU: 72803047976

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

Sale price$72.00 Regular price$80.00
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Ships within 48 hours · Estimated delivery Jun 30 - Jul 5

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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
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SKU: 72803047976

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4.7 ★★★★★
Based on 934 reviews
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Gene
Cuba, US
★★★★★ 5
Excellent value.
Color: Black
I wanted an inexpensive “work” watch so I could keep my “good” watches from getting beat up. This one is an excellent choice…solar so no battery to replace. Bright light function for night time check. No analog function is the only downside for us old folks. Overall a bargain! 👍
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Reviewed in the United States on February 23, 2026
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Verified Purchase
New eagle
Charlottesville, US
★★★★★ 5
Sturdy.
Color: Brown (Passcase)
Nice wallet. Well built. Comfortable. I definitely recommend this item.
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Reviewed in the United States on May 23, 2026
R
Verified Purchase
Rachel S.
Lowell, US
★★★★★ 5
High quality wallet
Color: Brown (Trifold)
Very nice leather wallet. The durability is great. Long lasting wallet at a great price!
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Reviewed in the United States on May 11, 2026
B
Verified Purchase
Bonnie L. Lee
Chelsea, US
★★★★★ 4
Carharrt Quality
Color: Brown (Passcase)
I purchased this bifold wallet approximately about a month ago for my husband. It seems to have the trusted durable Carharrt quality, but it hasn’t been long enough to review its durability. It’s very nice looking. I gave it a four star due to he did find it stiff & tight fitting at first, it didn’t fit all that he had in his old wallet. I’m sure with time as with any leather it will soften.
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Reviewed in the United States on April 27, 2026
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Verified Purchase
Ml
Omaha, US
★★★★★ 5
Happy guy!
Color: Black (Passcase)
Good quality materials, brand, and layout.
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Reviewed in the United States on April 19, 2026

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