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Medical Arts Press® Podiatry Registration and History Form; Teal

See pricing info, deals and product reviews for Medical Arts Press® Podiatry Registration and History Form; Teal at Quill.com. Order online today and get fast, free shipping for your business.
Item #: 901-20590
  Model #: 20590RL
Brand: Medical Arts Press
Medical Arts Press® Podiatry Registration and History Form; Teal
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Qty 1 2-3 4-7 8+
Price $54.99 $46.99 $42.99 $38.99
Qty. Savings 14% 21% 29%
Price per each: $0.22 $0.19 $0.17 $0.16
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Description
  • Colorful, user-friendly format combines thorough patient registration with specialized podiatric health history
  • Personal and insurance information sections enable you to set up your patient's account with ease
  • History section provides chief complaint, current and past symptoms, as well as previous podiatric treatment information
  • In-depth medical history informs you of past medical problems to aid in diagnosis and treatment
  • Printed both sides on 24-lb. bond
  • 250 forms per package
  • Size: 8-1/2x11"
  • To view an enlarged sample of this form Click Here
Specifications
Brand : Medical Arts Press Customizable : No
Weight : 3.10 lbs. per Pack

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