4065 Two Sided Registration & History Form Dental Icon Design 8 1/2 x 11″ QTY 30 4065 Two Sided Registration & History Form Dental Icon Design Size: 8 1/2 x 11″ Capture personal data, insurance information, medical history and more with 1 colorful, patient-friendly form! 2-sided format 28# ledger stock. 100 per pad 3 pads per box