Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
                
            
                         $66.89 
                    
                        Per  pack
                                  ($0.27/EACH)  
                Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
        Item #:
        901-20743
    
        
            Model #:
            null
        
            
            Brand:
            Medical Arts Press
        
                
                    
                                (1 reviews)
                    
                    
                
                
                
    
                    Item #:
                    901-20743
                
            
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                         $66.89 
                    
                        Per  pack
                                  $0.27/EACH  
                
                            250 EACH = 1 PACK
                                
                        
                
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                                    Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
                                
                                
                Limited quantity available: 2 remaining
            
Frequently bought together
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                    Total
                    $96.47
                
                
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                            Description
        
                    
                    HIPAA-compliant insurance authorization.
                
            - Collects printed name and relationship to patient
- Medication list requests correlating diagnosis
- Screens for artificial heart valves, artificial joints, heart
- Size: 8-1/2x11"
Specifications
        
                    Brand
                
                
                    Medical Arts Press
                
                
                    Form Size
                
                
                    8 1/2" x 11"
                
                
                    Length in Inches
                
                
                    11
                
                
                    True Color
                
                
                    Sky Blue
                
                
                    Width in Inches
                
                
                    8.5
                
     
                     
                                                