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Medical Arts Press® Podiatry Registration and History Form, Teal, No Punch
Item #: 901-20590NP
Model #: 20590RL
Brand: Medical Arts Press
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| Qty | 1 | 2+ |
| Price | $44.99 | $38.99 |
| Qty. Savings | 13% | |
| Price per each: | $0.18 | $0.16 |
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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
- Colorful, user-friendly format combines thorough patient registration with specialized podiatric health history
- 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
- 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 : 20590RL |
| True Color : White | Width in Inches : 8.5 | ||
| Weight : 3.08 lbs. per Pack |
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