Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #:
901-33018
Model #:
Brand:
Medical Arts Press
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Out of stock
$24.59
Per pack
250 EACH = 1 PACK
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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"
- To view an enlarged sample of this form Click Here
Specifications
Brand
Medical Arts Press
Length in Inches
11
Pack Qty
1
Width in Inches
8.5