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Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish
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Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish
Item #:
901-20743
Model #:
20743
Brand:
Medical Arts Press
(1 reviews)
Item #:
901-20743
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Details
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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