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Medical Arts Press® Podiatry Registration and History Form; Teal

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Item #: 901-20590
  Model #: 20590RL
Brand: Medical Arts Press
Medical Arts Press® Podiatry Registration and History Form; Teal
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Price $42.99 $37.99 $33.99 $30.99
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Price per each: $0.17 $0.15 $0.14 $0.12
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Description
  • Colorful, user-friendly format combines thorough patient registration with specialized podiatric health history
  • Personal and insurance information sections enable you to set up your patient's account with ease
  • History section provides chief complaint, current and past symptoms, as well as previous podiatric treatment information
  • In-depth medical history informs you of past medical problems to aid in diagnosis and treatment
  • Printed both sides on 24-lb. bond
  • 250 forms per package
  • Size: 8-1/2x11"
  • To view an enlarged sample of this form Click Here
Specifications
Brand : Medical Arts Press
Weight : 3.10 lbs. per Pack

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