Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
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$40.55
$81.09
Per pack
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$0.16/EACH
)
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #:
021-20743
Model #:
null
Brand:
Medical Arts Press
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(1 reviews)
Item #:
021-20743
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$40.55
Per pack
$0.16/EACH
250 EACH = 1 PACK
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Frequently bought together
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Total
$126.39
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
