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Medical Arts Press® Registration Forms without Updates Section; Dental Sketch, Spanish
Item #: 901-20744
Model #: 20744
Brand: Medical Arts Press
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| Qty | 1 | 2+ |
| Price | $77.99 | $71.99 |
| Qty. Savings | 7% | |
| Price per each: | $0.31 | $0.29 |
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Description
Medical Arts Press Spanish Registration Forms - HIPAA compliant insurance authorization
Medical Arts Press Spanish Registration Forms features open-ended allergy and medicine screens along with space for emergency contacts. It is suitable for screening patients with about 50 different medical conditions.
- Screens Patients for Nearly 50 Medical Conditions
- Open-Ended Allergy & Medication Screens
- Emergency & Pharmacy Contacts
- Size: 8.5 x 11 inch
- HIPAA compliant, comprehensive insurance documentation
Specifications
| # Up Per Sheet/Page : 1 | Binding Type : Loose | Brand : Medical Arts Press | Carbonless : No |
| Color : Multicolor | Customizable : No | Diversity : Small Business | Form Size : 8-1/2" x 11" |
| Form Type : Clinical | Format : Patient Registration Form | Holes Punched : None | Lines : 32 |
| Media Quantity : 250 | NCR Paper : No | Number of Parts : 1 | Numbered : No |
| Package Quantity : 250 | Personalization : No | Security Features : No | Sheet Size : 8-1/2" x 11" |
| Weight : 3.34 lbs. per Pack |
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