"Emerald Greetings Revised" This form has the same questions as the Emerald Greetings except the HIV/AIDS question has been removed and replaced with "Anything you would like to discuss with the doctor in private?"
STENO Style, Head to Foot, i.e. To read the back you flip it up from the bottom.
Overall size 8 3/8" W x 10 7/8" H.
