Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
$66.99
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
$66.99
Per pack
$0.27/EACH
250 EACH = 1 PACK
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Save up to an extra 10% on your order, See your savings with our calculator.
Extra 5% off
$63.64
Per pack
$0.25/EACH
Frequently bought together
+
Item #: 901-33404
$5.99
5+ pad
$29.95
+
Total
$129.93
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
