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Medical Arts Press® Dental Registration and History Form; Green Marble
Item #: 901-20638
Model #: 20638RL
Brand: Medical Arts Press
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| Qty | 1 | 2-3 | 4-7 | 8+ |
| Price | $53.99 | $49.99 | $45.99 | $41.99 |
| Qty. Savings | 7% | 14% | 22% | |
| Price per each: | $0.22 | $0.20 | $0.18 | $0.17 |
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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
| Accounting & Record Journal Type : Record Books | Brand : Medical Arts Press | Color Family : Green | Customizable : No |
| Number Sheets Per Pad : 250 | Pack Qty : 1 | True Color : Green | |
| Weight : 34.00 lbs. per Pack |
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