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Offer good through 10/2/22.

Medical Arts Press® Dental Registration and History Form; Elegant Brush

Order Medical Arts Press® Dental Registration and History Form; Elegant Brush today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-15123
  Model #: 15123
Brand: Medical Arts Press
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Medical Arts Press® Dental Registration and History Form; Elegant Brush
$64.99 Pack
When you buy 4+
250 EACH = 1 PACK
or
$77.99 Pack
When you buy 1-3
Buy more & save!
Qty 1-3 4+
Price $77.99 $64.99
Qty. Savings 16%
Price per each: $0.31 $0.26
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Description
  • HIPAA compliant insurance authorization
  • Help ensure reimbursement and improve risk management
  • Collects printed name and relationship to patient
  • Medication lists requests correlating diagnosis
  • Screens for artificial heart valves, artificial joints, heart murmur, mitral valve prolapse and pacemaker
  • 250 sheets per film wrapped pack
  • Size: 8-1/2x11"
Specifications
Brand : Medical Arts Press Chart and Form Type : Standard Patient Registration Form Charts Paper Weight (Lbs) : 24 Color Family : White
Customizable : No Height in Inches : 11" Number of Pages : 250 Series or Collection : Dental
Speciality Use : Dental True Color : White/Green Used For : Registration and History Form Width in Inches : 8.5"
Weight : 3.34 lbs. per Pack
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