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Offer good through 8/28/22.

Medical Arts Press® Dental Registration and History Form; Tooth Border

Order Medical Arts Press® Dental Registration and History Form; Tooth Border today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-20596
  Model #: 20596
Brand: Medical Arts Press
Medical Arts Press® Dental Registration and History Form; Tooth Border
$43.99 Pack
When you buy 4+
250 EACH = 1 PACK
or
$51.99 Pack
When you buy 1-3
Buy more & save!
Qty 1-3 4+
Price $51.99 $43.99
Qty. Savings 15%
Price per each: $0.21 $0.18
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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 : 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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