Electronic COVID-19 Patient Advisory & Acknowledgement  ***WI Dental Practices ONLY***
Electronic COVID-19 Patient Advisory & Acknowledgement ***WI Dental Practices ONLY***

Electronic COVID-19 Patient Advisory & Acknowledgement ***WI Dental Practices ONLY***

Your Price:$49.95
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Part Number:T5262020CVADAKE
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This ELECTRONIC form is to acknowledge that you have presented to the dental practice for treatment during the COVID-19 pandemic.
This ELECTRONIC form also has a "yes or no" questioner regarding patients current physical health. 

ANNUAL COST of  $49.95

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

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