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Offer good through 7/15/22.

Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet

Order Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-15143
  Model #: 15143
Brand: Medical Arts Press
Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet
$37.99 Pack
When you buy 2+
250 EACH = 1 PACK
or
$39.99 Pack
When you buy 1
Buy more & save!
Qty 1 2+
Price $39.99 $37.99
Qty. Savings 5%
Price per each: $0.16 $0.15
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Description
  • Colorful, user-friendly format
  • Combines thorough patient registration with specialized podiatric health history
  • Features personal and insurance information sections that enable you to set up your patient s account with ease
  • Contains a history section to provide chief complaint, current and past symptoms and previous podiatric treatment information
  • Size: 8-1/2x11"
Specifications
Brand : Medical Arts Press Chart and Form Type : Standard Patient Registration Form Color Family : White Customizable : No
Height in Inches : 11" Number of Pages : 250 Series or Collection : Podiatry Speciality Use : Podiatry
True Color : Multicolor Used For : Registration and History Form Width in Inches : 8.5"
Weight : 3.09 lbs. per Pack
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