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Medical Arts Press® Dental Registration and History Form
Item #:
901-20605
Model #:
20605
Brand:
Medical Arts Press
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250 EACH = 1 PACK
Free shipping
Description
- 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
Chart and Form Type
Standard Patient Registration Form
Charts Paper Weight (Lbs)
24
Color Family
White
Customizable
No
Height in Inches
11"
Number of Pages
250
Paper Type
Bond
Series or Collection
Dental
Speciality Use
Dental
True Color
White/Purple
Used For
Registration and History Form
Width in Inches
8.5"