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Medical Arts Press® Podiatry Registration and History Form, Numbered, No Punch

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Item #: 901-20566NP
  Model #: 20566RL
Brand: Medical Arts Press
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Medical Arts Press® Podiatry Registration and History Form, Numbered, No Punch
$28.99 Pack When you buy 8+
250 EACH = 1 PACK
Buy more & save!
Qty 1 2-3 4-7 8+
Price $41.99 $35.99 $31.99 $28.99
Qty. Savings 14% 23% 30%
Price per each: $0.17 $0.14 $0.13 $0.12
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Description
  • Type of form: Registration and history form
  • 250 per pack
  • Size: 8 1/2" x 11"
  • Paper weight: 24 lbs.
  • Binding type: Loose
  • Number of parts: 1
  • Personal and insurance information sections enable to set up the 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
  • Sections are numbered for easy completion, printed both sides on 24 lbs. bond
Specifications
Brand : Medical Arts Press Customizable : No
Weight : 3.03 lbs. per Pack

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