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 Aug 17 - Aug 22

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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.
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  • Delivery to the USA:
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Exchange/Return Notes
  • We offer a 30-day return/exchange service after receiving.
  • Final sale items are not eligible for returns or exchanges.
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SKU: 72803047976

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4.7 ★★★★★
Based on 2413 reviews
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Verified Purchase
Rick J
Massapequa, US
★★★★★ 5
Great Vest
this golf vest is amazing. It’s very well-made. It fits well, I’m a double X and I’m 62 and a slice of pizza from 230 pounds. I just love it and plan to buy more. I believe it’s gonna wear very well, but I’ll let you all know in a month or two after I’ve worn it a couple times and washed it a couple times.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on March 24, 2026
B
Verified Purchase
Billy D.
Waukegan, US
★★★★★ 4
As Advertised!
Product arrived promptly & well-packaged (shrink wrapped packaged & enclosed inside additional box). Golf vest was received "as advertised" & appears to be of good quality. Vest was fairly priced & is very comfy, lightweight, stylish & wrinkle resistant. Purchased as a gift for my adult son for his future golf adventures. Size/fit will need to be determined by my son when he prepares for his next golf outing. Very pleased with my purchase & will consider additional purchases from seller in the future.
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Reviewed in the United States on December 29, 2025
S
Verified Purchase
Stephen Szczygiel
Whiting, US
★★★★★ 5
Hold vest
Color: Red, Size: 3X-Large
Great look & fit !
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Reviewed in the United States on March 1, 2026
T
Verified Purchase
Trey
Charlottesville, US
★★★★★ 5
Great vest
Color: Dark Grey, Size: X-Large
This lil vest is awesome. A little thicker than I expected but perfect for my cool office. Looks like it cost twice as much. I had my company info put on it and looks like it cost 150.
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Reviewed in the United States on April 16, 2026
D
Verified Purchase
D.L. OHollaren, Jr.
Louisville, US
★★★★★ 3
fit
Snug fit.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on April 26, 2025

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