Custom Podiatric Exam and Treatment Reports, Bi-Folded to 8-1/2" x 11", 2-Sided, 250 sets per Pack
$181.99
1 pack
Save 31%
$124.99
20+ pack
Custom Podiatric Exam and Treatment Reports, Bi-Folded to 8-1/2" x 11", 2-Sided, 250 sets per Pack
Item #:
901-QFN106121R
Model #:
7QGFM106121R
Brand:
Quill Custom Print
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$181.99
1 pack
Save 31%
$124.99
20+ pack
1 PACK = 250 EACH
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Description
Four-page form documents comprehensive exam or return treatment with clean, open formatting to simplify reporting.
- For use in patient charts
- 8-1/2" W x 11" L
- 4-part, white/white/white/white, carbonless; printed in black ink
- 250 sets per pack
- 2-sided, comprehensive examination form
Specifications
# Up Per Sheet/Page
1
Binding Type
Continuous
Brand
Quill Custom Print
Carbonless
No
Color
White
Customizable
Yes
Form Size
8 1/2" x 11"
Form Type
Documentation
Format
Medical Chart
Holes Punched
No
Lines
7
Media Quantity
250
NCR Paper
No
Number of Parts
4
Numbered
No
Package Quantity
250
Personalization
Yes
Security Features
No
Sheet Size
8 1/2" x 11"