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Medical Arts Press® Medical Registration and History Form

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Item #: 901-33424
  Model #: 33424
Brand: Medical Arts Press
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Medical Arts Press® Medical Registration and History Form
$36.99 Pack
When you buy 8+
250 EACH = 1 PACK
or
$51.99 Pack
When you buy 1
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Qty 1 2-3 4-7 8+
Price ) $51.99 $44.99 $39.99 $36.99
Qty. Savings 13% 23% 28%
Price per each: $0.21 $0.18 $0.16 $0.15
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Description
Helps ensure reimbursement with primary and secondary insurance information, and HIPAA compliant authorizations for insurance and Medicare. Strong certification by patient that they are responsible for accuracy and completeness of health history provideslegal backup. Gathers full clinical documentation including complete family and personal medical history. Screens patient for over 70 common symptoms arranged to your ROS.
  • Size: 8-1/2-in. W x 11-in. H
  • Box of 250.
Specifications
Brand : Medical Arts Press Color Family : Blue Customizable : No True Color : Blue
Weight : 34.00 lbs. per Pack

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