Comprehensive Health History Questionnaire (Model # IH19-711)

  • 100 Comprehensive Health History Questionnaires/Package
  • Four-page record organized to capture past and present medical problems, family history, and nutrition
  • Summarizes patient data for quick and easy review
  • Available in both male and female versions
  • Two-hole punched at the top for convenient filing
  • Folded size: 8 1/2″ w x 11″ h (includes 5/8″ stub for detaching pages)
MODEL#: IH19-711 Category:

$97.00

Additional information

Weight 431.2 lbs
Bibbero Comprehensive Health History Questionnaire

Female – Green Ink, Male – Blue Ink