Medical Arts Press Dental Registration and History Form, 250/Pack (20605)
$52.99
Per pack
($0.21/EACH)
Medical Arts Press Dental Registration and History Form, 250/Pack (20605)
Item #:
901-20605
Model #:
20605
Brand:
Medical Arts Press
(4 reviews)
Item #:
901-20605
$52.99
Per pack
$0.21/EACH
1 PACK = 250 EACH
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Medical Arts Press Dental Registration and History Form, 250/Pack (20605)
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Description
Streamline patient information collection with our dental registration form. This easy-to-fill-out form features individually numbered sections for comprehensive data gathering, including patient information, insurance details, and medical history. Printed in purple ink on 24 lb. white bond paper, the two-sided form is 2-hole punched at the top for convenience. Each pack contains 250 forms, sized 8 1/2" x 11", perfect for thorough dental registration and history documentation.
- Form allows you to gather complete information from patients
- Simple to fill out with individually numbered sections
- Includes sections on patient information, insurance, history and more
- Head to toe dental registration and history form
- 2-sided form is printed top-to-bottom in purple ink on 24 lb. white bond paper
- 2-hole punched at the top
- 250 per package
- 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
