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Medical Arts Press® Medical Registration and History Form

See pricing info, deals and product reviews for Medical Arts Press® Medical Registration and History Form at Quill.com. Order online today and get fast, free shipping for your business.
Item #: 901-33424
  Model #: 33424
Brand: Medical Arts Press
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Medical Arts Press® Medical Registration and History Form
$31.99 Pack
When you buy 8+
250 EACH = 1 PACK
or
$43.99 Pack
When you buy 1
Buy more & save!
Qty 1 2-3 4-7 8+
Price $43.99 $38.99 $34.99 $31.99
Qty. Savings 11% 20% 27%
Price per each: $0.18 $0.16 $0.14 $0.13
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Description
Helps ensure reimbursement with primary and secondary insurance information, and HIPAA compliant authorizations for insurance and Medicare. Strong certification by patient that they are responsible for accuracy and completeness of health history provideslegal backup. Gathers full clinical documentation including complete family and personal medical history. Screens patient for over 70 common symptoms arranged to your ROS.
  • Size: 8-1/2-in. W x 11-in. H
  • Box of 250.
Specifications
Color Family : Blue True Color : Blue Brand : Medical Arts Press Customizable : No
Weight : 3.10 lbs. per Pack

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