Dental Health 2016 Catalog

PATIENT SIGN-IN FORMS

HIPAA Peel-able Privacy Sign-In Sheets - PMA Removable name strip protects patient privacy while carbon sheet transfers names to back of sheets.

FORMS

Pink

Blue

Green

790-14037

790-18228

790-18229

250/box…… $76.75

250/box…… $76.75

250/box…… $76.75

Toothbrush - PMA 790-17014

Smile - PMA 790-17008

100/box........ $67.45

100/box........ $67.45

Guide to our icons

651

Order by

800-626-2163

www.dhpionline.com

Fax: 888-681-5088