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Offer good through 8/28/22.

Medical Arts Press® Patient Registration; Purple FormFamily™

Order Medical Arts Press® Patient Registration; Purple FormFamily™ today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-20642
  Model #: 20642
Brand: Medical Arts Press
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Medical Arts Press® Patient Registration; Purple FormFamily™
$37.99 Pack
When you buy 2+
250 EACH = 1 PACK
or
$43.99 Pack
When you buy 1
Buy more & save!
Qty 1 2+
Price $43.99 $37.99
Qty. Savings 13%
Price per each: $0.18 $0.15
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Description
  • Obtain complete patient information as well as primary and secondary insurance information for accurate billing
  • Printed in blue ink on white 24-lb. bond paper
  • Predrilled holes on top and side
  • 1-sided
  • 250 forms per pack
  • Size: 8-1/2x11"
Specifications
Brand : Medical Arts Press Chart and Form Type : Standard Patient Registration Form Charts Paper Weight (Lbs) : 24 Color Family : Purple
Customizable : No Height in Inches : 11" Number of Pages : 250 Paper Type : Bond
Series or Collection : General Health Speciality Use : General Practice True Color : Purple Used For : Registration and History Form
Width in Inches : 8.5"
Weight : 3.08 lbs. per Pack
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