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Medical Arts Press® Registration Forms without Updates Section; Dental Sketch, Spanish

Order Medical Arts Press® Registration Forms without Updates Section; Dental Sketch, Spanish today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-20744
  Model #: 20744
Brand: Medical Arts Press
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Medical Arts Press® Registration Forms without Updates Section; Dental Sketch, Spanish
$71.99 Pack
When you buy 2+
250 EACH = 1 PACK
or
$77.99 Pack
When you buy 1
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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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