Medical Arts Press® Dental Registration and History Form without Updates, Tooth Character
$54.99
Per pack
Medical Arts Press® Dental Registration and History Form without Updates, Tooth Character
Item #:
901-20588
Model #:
20588RL
Brand:
Medical Arts Press
(1 reviews)
Item #:
901-20588
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Total
$128.97
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Description
- Type of form: Registration and history form
- 250 per pack
- Size: 8 1/2" x 11"
- Binding type: Loose
- Design: Tooth Character
- Number of parts: 1
- Gathers complete personal information, dental history and insurance information plus assignment and release for account setup
- Printed both sides on 24 lbs. bond in teal ink
Specifications
Brand
Medical Arts Press
Form Size
8 1/2" x 11"
Length in Inches
11
True Color
White
Width in Inches
8.5