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Custom X-Ray Release Slips, 5-1/2 x 4, 100 Sheets per Pad
Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad
$8.59
5-9 pad
($0.09/EACH)
Save 44%
$4.79
40+ pad
($0.05/EACH)
Pricing details
Customize
Earn +42 points
Description
Specifications
Reviews
  1. Home
  3. Custom Print
  5. Custom Forms, Checks, and Deposit Slips
  7. Custom Healthcare Forms
  9. Custom General Medical

Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad

Order Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-QFN131181R
Model #: 7QGFM131181R
Brand: Quill Custom Print
Not yet rated. Be the first to Write a review!
Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad
Custom X-Ray Release Slips, 5-1/2 x 4, 100 Sheets per Pad
Earn +42 points
$8.59
5-9 pad
$0.09/EACH
44% off
$4.79
40+ pad
$0.05/EACH
100 EACH = 1 PAD
Buy more & save!
Qty. savings
$8.59
5 - 9 pad
19%
$6.99
10 - 19 pad
24%
$6.49
20 - 29 pad
35%
$5.59
30 - 39 pad
44%
$4.79
40 + pad
Start free trial
Save up to an extra 10% on your order, See your savings with our calculator.
Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad
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Free delivery w/ $25+
Ship to: 60069
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Frequently bought together

Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad
This item Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131181R
$8.59
5-9 pad
($0.09/EACH)
44% off
$4.79
40+ pad
($0.05/EACH)

$42.95

Customize
+
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Item #: 901-QFN131421R
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$8.59
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40+ pad
($0.04/EACH)

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Total $85.90
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Description
Specifications
Reviews
Protect yourself from patients who refuse diagnostic radiographic service by obtaining their signed release.
  • For use in patient charts
  • 5-1/2" W x 4" L
  • White 20# text stock; printed in black ink
  • 100 sheets per pad, order in quantities of 5 pads
  • Padded at the top
# Up Per Sheet/Page
1
Binding Type
Padded
Brand
Quill Custom Print
Carbonless
No
Color
White
Customizable
Yes
Form Size
4" x 5-1/2"
Form Type
Referral
Format
Medical Chart
Holes Punched
No
Lines
7
Media Quantity
100
NCR Paper
No
Number of Parts
1
Numbered
No
Package Quantity
100 per Pad
Personalization
Yes
Security Features
No
Sheet Size
4" x 5-1/2"

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