Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Save 50%
$31.90
$63.79
Per pack
(
$0.13/EACH
)
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #:
021-20596
Model #:
20596
Brand:
Medical Arts Press
5
(4 reviews)
Item #:
021-20596
Loading...
Best-in-market price on business essentials.*
We did the work on pricing, so you don’t have to. Backed by our
Price Match Guarantee.
$31.90
Per pack
$0.13/EACH
1 PACK = 250 EACH
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Frequently bought together
+
+
Total
$87.26
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
Brand
Medical Arts Press
Form Size
8 1/2" x 11"
Length in Inches
11
True Color
White
Width in Inches
8.5