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Medical Arts Press® Dental Registration and History Form
Item #: 901-20605
Model #: 20605
Brand: Medical Arts Press
Buy more & save!
| Qty | 1 | 2-3 | 4+ |
| Price | $45.99 | $39.99 | $36.99 |
| Qty. Savings | 13% | 19% | |
| Price per each: | $0.18 | $0.16 | $0.15 |
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Description
- Form allows you to gather complete information from patients
- Simple to fill out with individually numbered sections
- Includes sections on patient information, insurance, history and more
- Head to toe dental registration and history form
- 2-sided form is printed top-to-bottom in purple ink on 24 lb. white bond paper
- 2-hole punched at the top
- 250 per package
- 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 | Paper Type : Bond |
| Series or Collection : Dental | Speciality Use : Dental | True Color : White/Purple | Used For : Registration and History Form |
| Width in Inches : 8.5" | |||
| Weight : 3.19 lbs. per Pack |
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