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715C Good Habits Children's Form - STENO Style
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Availability:
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Product Code:
715C
To order, call 1-800-722-4884
Description
Click here to view two-sided, high resolution version.
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 practice. This form can also be used in conjunction with the "Good Habits" Children's Welcome Form Spanish Version (760-CSP), if your practice has the need.
Additionally, this form is available in Steno Style, meaning to read the back, you must flip it up from the bottom.
Overall size 8 3/8" W x 10 7/8" H. Quantity: 100 per package.
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