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Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave

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Item #: 901-33018
  Model #:
Brand: Medical Arts Press
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Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
$56.99 Pack
250 EACH = 1 PACK
 When you buy 8+
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Qty 1 2-3 4-7 8+
Price $71.99 $66.99 $59.99 $56.99
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Price per each: $0.29 $0.27 $0.24 $0.23
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Description
  • HIPAA compliant insurance authorization
  • Help ensure reimbursement and improve risk management
  • Collects printed name and relationship to patient
  • Medication lists requests correlating diagnosis
  • Screens for artificial heart valves, artificial joints, heart murmur, mitral valve prolapse and pacemaker
  • 250 sheets per film wrapped pack
  • Size: 8-1/2x11"
  • To view an enlarged sample of this form Click Here
Specifications
Color Family : Blue True Color : Blue Brand : Medical Arts Press
Weight : 3.10 lbs. per Pack

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