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Medical Arts Press® Dental Registration and Medical History Form, Ledger Stock
Item #: 901-20128MAP
Model #: 20128MAP
Brand: Medical Arts Press
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| Qty | 1-19 | 20+ |
| Price | $51.99 | $41.99 |
| Qty. Savings | 19% | |
| Price per each: | $0.21 | $0.17 |
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Description
- Type of form: Dental registration and medical history form
- 250 per pack
- Size: 8 1/2" x 11"
- Binding type: Loose
- Number of parts: 1
- At the initial visit, obtain a medical history, as well as pertinent personal, financial and insurance information all on one form
- Features four medical history updates on back
- Printed on white ledger stock
Specifications
| Brand : Medical Arts Press | Business Forms Pack Size : 250 | Customizable : No | Envelopes : Envelopes Not Included |
| Form Size : 8 1/2" x 11" | Length in Inches : 11 | Parts : 1 | Product Model Number : 20128RL |
| True Color : White | Width in Inches : 8.5 | ||
| Weight : 3.08 lbs. per Pack |
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