SKU: 72803047976

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

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Ships within 48 hours · Estimated delivery Jun 13 - Jun 18

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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
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SKU: 72803047976

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4.4 ★★★★★
Based on 1239 reviews
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Verified Purchase
Nicholas Schadewald
Pawtucket, US
★★★★★ 4
Fair Quality, Hour and a half build
Color: Black, Size: 132in-Large Metal Base
Key things: It does (more or less, not completely) fold in on itself, it does block nearly all visibility (especially from an angle), it was only about an hour and thirty minutes to put together, and it is light weight. Do I recommend? Yeah.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on September 1, 2025
S
Verified Purchase
Sheddran Smith
Louisville, US
★★★★★ 5
Privacy
Color: Black, Size: 132in-Large Metal Base
Great for privacy especially if you have a roommate..
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on May 18, 2026
S
Verified Purchase
Sobhan Putalapattu
Alexandria, US
★★★★★ 3
Assembly was a bit rough
Color: Black, Size: 132in-Large Metal Base
It is serving the purpose it is bought for. However the assembly was harder than it should have been. Joining the parts A and B (two iron pipes) was very hard. We can't use any tools to do that and it has to be done manually and every joint was very tight and very hard to to do. I had to struggle to make 24 joints for the length I need. At one point I was going to return it, but I needed it very badly so continued with the assembly.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on August 29, 2024
E
Verified Purchase
Exelente producto
Massapequa, US
★★★★★ 5
Se ajusta perfectamente al lugar que lo necesites
Color: Black, Size: 172in-Large Metal Base
Queda excelente ni tan alto ni tan bajo
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Reviewed in the United States on April 29, 2026
C
Verified Purchase
CD
Draper, US
★★★★★ 1
Frame too short
Color: Beige, Size: 132in-Large Metal Base
Can’t be assemble due to the frame being too short
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on May 20, 2026

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