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Medical Arts Press® Dental Registration and Medical History Form, Spanish

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Item #: 901-20586
  Model #: 20586
Brand: Medical Arts Press
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Medical Arts Press® Dental Registration and Medical History Form, Spanish
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$38.99 Pack
When you buy 8+
250 EACH = 1 PACK
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$48.99 Pack
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Description
Obtains a medical history and personal, financial and insurance info. Has special sections for Parent info., insurance authorization, and 2 Medical History Updates. Printed in Spanish on 20-lb. bond. 250 sheets per package. Size: 8-1/2x11".
  • Type of form: Dental registration and medical history form
  • 250 per pack
  • Size: 8 1/2" x 11"
  • Paper weight: 24 lbs
  • Binding type: Loose
  • Number of parts: 1
  • Obtains a medical history and personal, financial and insurance info
  • Has special sections for parent info
  • Insurance authorization and 2 medical history updates
  • Printed on 24 lbs. white ledger stock
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 Used For : Registration and History Form
Width in Inches : 8.5"
Weight : 2.81 lbs. per Pack

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