Health &

  First Aid








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Haiti Tools and Resources - Medical Tools - Patient Questionnaire

Patient Questionnaire

Patient Questionaires - English - Krey˛l - Francais - Espanol

    Forms are printed with English on one side and Creole on the other. They are also available in English / French, Creole / French, and English / Spanish. If you need another language combinantion, please contact us at sales@ngohaiti.com or call (678) 739-9177.

    On Line Order Form

    Order from Eastern Digital Resources - 5705 Sullivan Point Drive - Powder Springs, GA 30127 USA
    Price 100 - $7.00 / 1000 - $50.00 / 5000 - $200.00. Includes postage to U.S. address.






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