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This "Good Habits" Children's Welcome Form with fun toothbrush design encourages young patients to keep up healthy brushing habits, while the questionnaire provides accurate and complete information for your Dental Practice. This form can work in conjunction with the "Good Habits" Children's Welcome Form Spanish Version (760-CSP), if you have the need. Additionally, this form is available in Book Style format, meaning to read the back, you must turn it over like a page of a book.

Overall size 8 3/8" W x 10 7/8" H. Quantity: 100 per package.