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

Order Medical Arts Press® Podiatry Registration and History Form, Numbered, No Punch today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-20566NP
  Model #: 20566RL
Brand: Medical Arts Press
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Medical Arts Press® Podiatry Registration and History Form, Numbered, No Punch
$37.99 Pack
When you buy 4+
250 EACH = 1 PACK
or
$46.99 Pack
When you buy 1-3
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Qty 1-3 4+
Price $46.99 $37.99
Qty. Savings 19%
Price per each: $0.19 $0.15
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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 Business Forms Pack Size : 250 Customizable : No Envelopes : Envelopes Not Included
Form Size : 8 1/2" x 11" Length in Inches : 11 Parts : 1 Product Model Number : 20566RL
True Color : White Width in Inches : 8.5
Weight : 3.33 lbs. per Pack
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