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Medical Arts Press® Dental Registration and History Form; Elegant Brush

See pricing info, deals and product reviews for Medical Arts Press® Dental Registration and History Form; Elegant Brush at Quill.com. Order online today and get fast, free shipping for your business.
Item #: 901-15123
  Model #: 15123
Brand: Medical Arts Press
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Medical Arts Press® Dental Registration and History Form; Elegant Brush
$55.99 Pack
When you buy 8+
250 EACH = 1 PACK
or
$70.99 Pack
When you buy 1
Buy more & save!
Qty 1 2-3 4-7 8+
Price $70.99 $65.99 $58.99 $55.99
Qty. Savings 7% 16% 21%
Price per each: $0.28 $0.26 $0.24 $0.22
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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"
Specifications
True Color : White Width in Inches : 8.5 Business Forms Pack Size : 250 Envelopes : Envelopes Not Included
Brand : Medical Arts Press Customizable : No
Weight : 3.80 lbs. per Pack

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