Medical Arts Press® Dental Registration and History Form; Tooth Border
- 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"