Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #:
901-20579
Model #:
Brand:
Medical Arts Press
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Out of stock
$20.59
Per pack
$0.08/EACH
250 EACH = 1 PACK
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Description
Sets a friendly welcome tone for new patients. Gathers complete personal information, dental history and insurance information plus assignment and release for account setup. Printed both sides on 24-lb. bond. 250 forms per package. Size: 8-1/2x11".
Specifications
Brand
Medical Arts Press
Medical Form Type
Dental Claims
Pack Qty
1
