COVID-19 Patient Advisory and Acknowledgement ***WI Dental Practices ONLY***
COVID-19 Patient Advisory and Acknowledgement ***WI Dental Practices ONLY***

COVID-19 Patient Advisory and Acknowledgement ***WI Dental Practices ONLY***

Your Price:$20.99
In Stock
Part Number:T5262020CVADAK
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This form is to acknowledge that you have presented to the dental practice for treatment during the COVID-19 pandemic.
This form also has a "yes or no" questioner regarding patients current physical health. 

***These forms are sold exclusively only to WI Dental Practices***

Tablets of 100 Single-Sided Sheets, pre-punched and cut to fit

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