Medical Arts Press Podiatry Registration and History Form, Teal, No Punch
$54.19
1 pack
($0.22/EACH)
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$50.99
2+ pack
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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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$54.19
1 pack
$0.22/EACH
Save 5%
$50.99
2+ pack
$0.20/EACH
250 EACH = 1 PACK
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Medical Arts Press Podiatry Registration and History Form, Teal, No Punch
Limited quantity available: 18 remaining
Frequently bought together
Item #: 901-20590NP
$54.19
1 pack
($0.22/EACH)
Save 5%
$50.99
2+ pack
($0.20/EACH)
$54.19
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Total
$137.87
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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
Form Size
8 1/2" x 11"
Length in Inches
11
True Color
White
Width in Inches
8.5
