{"product_id":"form-100-6","title":"Form 100-6 - Patient Information, Terms and Conditions, Health Questionnaire and Consent","description":"\u003cp\u003ePatient Information, Terms and Conditions, Health Questionnaire and Consent.\u003cbr\u003eMost comprehensive form of its type:\u003cbr\u003eFinancial and Insurance information\u003cbr\u003eTerms and Conditions\u003cbr\u003eMedical History\u003cbr\u003eDental History\u003cbr\u003eConsent for Treatment\u003cbr\u003eGood for 3 years of updates\u003cbr\u003ePatient reviews his or her history, listing any changes, then dates and signs\u003cbr\u003eSize 8.5” x 11”\u003cbr\u003ePrinted 2 sides\u003cbr\u003eBlack and teal ink on white stock\u003cbr\u003e100 per pad.\u003c\/p\u003e","brand":"4 Dental Docs","offers":[{"title":"Default Title","offer_id":48046744371458,"sku":null,"price":29.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0825\/9908\/4290\/files\/100-6PatientInformationForms1.jpg?v=1782498623","url":"https:\/\/4dentaldocs.com\/products\/form-100-6","provider":"4 Dental Docs","version":"1.0","type":"link"}