Medical Arts Press® Dental Registration and Medical History Form, Ledger Stock
$53.99
1-3 pack
Save 3%
$51.99
4+ pack
Medical Arts Press® Dental Registration and Medical History Form, Ledger Stock
Item #:
901-20128MAP
Model #:
20128MAP
Brand:
Medical Arts Press
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$53.99
1-3 pack
Save 3%
$51.99
4+ pack
250 EACH = 1 PACK
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Medical Arts Press® Dental Registration and Medical History Form, Ledger Stock
Description
- Type of form: Dental registration and medical history form
- 250 per pack
- Size: 8 1/2" x 11"
- Binding type: Loose
- Number of parts: 1
- At the initial visit, obtain a medical history, as well as pertinent personal, financial and insurance information all on one form
- Features four medical history updates on back
- Printed on white ledger stock
Specifications
Brand
Medical Arts Press
Form Size
8 1/2" x 11"
Length in Inches
11
True Color
White
Width in Inches
8.5