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Medical Arts Press® Dental Registration and History Form; Tooth Border
Item #: 901-20596
Model #: 20596
Brand: Medical Arts Press
Buy more & save!
| Qty | 1 | 2-3 | 4-7 | 8+ |
| Price | $50.99 | $45.99 | $42.99 | $36.99 |
| Qty. Savings | 9% | 15% | 27% | |
| Price per each: | $0.20 | $0.18 | $0.17 | $0.15 |
Lifetime Warranty
Customers Also Viewed
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 : Blue |
| Customizable : No | Height in Inches : 11" | Number of Pages : 250 | Series or Collection : Dental |
| Speciality Use : Dental | True Color : Blue/White | Used For : Registration and History Form | Width in Inches : 8.5" |
| Weight : 3.08 lbs. per Pack |
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