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Type of form: Dental registration and history form
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250 per pack
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Size: 8 1/2″ x 11″
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Paper weight: 20 lbs
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Number of parts: 1
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Obtain a medical history and personal, financial and insurance information all on one form
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Has special sections for parent information, insurance authorization, and 2 medical history updates
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Printed on 20 lbs. bond





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