Health history questionnaire allows you to quickly obtain comprehensive dental & medical information.

• Simple checklist format. Forms use a series of questions designed to prompt responses through a simple checklist format.
• Easy to read. Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient.
• Double-sided. Printed on 2 sides on white ledger stock.
• Includes: 2-hole punch with check-off boxes.

FREIGHT CHARGES
ACS always confirms to our customers total amount to be charged including freight costs before order
is processed.

RETURNS
There is a 15 day return policy. Customers have 15 days to return products after they have received them. Products are not returnable after this time. Returns are subject to a restocking fee of 25%. If the return is a result of our error, we will issue a call tag. We grant returns on products only if the product and the packaging are in re-sellable condition. Custom products are not returnable.

SALES TAX
ACS charges sales tax if you are a Texas resident, Texas State Sales Tax will be added at the time your
order is invoiced. If you are tax exempt you must provide a Texas Sales Tax Exemption Certificate.