Custom Carbonless Anesthesia Consent Form, 3-1/4" x 5", 100 Sheets per Pad
$26.99
8 pad
Save 22%
$20.99
32+ pad
Custom Carbonless Anesthesia Consent Form, 3-1/4" x 5", 100 Sheets per Pad
Item #:
901-QFW1056501
Model #:
7QGFM1056501
Brand:
Quill Custom Print
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$26.99
8 pad
Save 22%
$20.99
32+ pad
Order in multiples of 8
100 EACH = 1 PAD
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Qty. savings
$26.99
8 pad
8%
$24.79
12 pad
15%
$22.79
16 - 24 pad
22%
$20.99
32 + pad
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Details
Description
Obtain authorized consent for nonsurgical procedures requiring general or intravenous anesthesia.
- Self-duplicating; everything is printed on original and duplicate
- 3-1/4" W x 5" L
- White self-duplicating carbonless stock; pre-printed in black ink
- 100 sheets per pad, order in quantities of 4 pads
- Pads are bound at the top
- Custom black imprint available at the top of the form
Specifications
# Up Per Sheet/Page
1
Binding Type
Padded
Brand
Quill Custom Print
Carbonless
Yes
Color
White
Customizable
Yes
Form Size
3-1/4” x 5”
Form Type
Agreements
Format
Medical Authorization Form
Holes Punched
No
Lines
7
Media Quantity
100
NCR Paper
Yes
Number of Parts
1
Numbered
No
Package Quantity
100 per Pad
Personalization
Yes
Security Features
No
Sheet Size
3-1/4” x 5”