24183 Consent Extractions Form 2 Pt 8 1/2 x 11" QTY 100 2parts

24183 Consent Extractions Form 2 Pt
Size: 8 1/2 x 11"

This 2-part dental form record allows you to document patient consent.

• Authorized signature line included.
• 2 Part Stock White, Canary
• 2 hole punched
• Add a custom or stock logo to this product.
• Imprint area: 2 3/8 x 1 1/16"
• Available in 2 parts only.
• 100 forms per box
• IMPORTANT: Your order will be on hold until you message us the Imprint you want on the form.