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- Type of form: Dental registration and medical history form
- 250 per pack
- Size: 8 1/2" x 11"
Medical Arts Press Dental Registration and Medical History Form, Spanish (20586)
Item #: 540806Model #: 20586
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$25.59
250/pack
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About this product
Obtains a medical history and personal, financial and insurance info. Has special sections for Parent info., insurance authorization, and 2 Medical History Updates. Printed in Spanish on 20-lb. bond. 250 sheets per package. Size: 8-1/2x11".
- Type of form: Dental registration and medical history form
- 250 per pack
- Size: 8 1/2" x 11"
- Paper weight: 24 lbs.
- Binding type: Loose
- Number of parts: 1
- Obtains a medical history and personal, financial and insurance info
- Has special sections for parent info
- Insurance authorization and 2 medical history updates
- Printed on 24 lbs. white ledger stock
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Unit of measure 100/Box Price per unit $0.20/File Folder
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Compare similar items
| Attributes | Medical Arts Press Dental Registration and Medical History Form, Spanish (20586) | Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039) | Medical Arts Press S.O.A.P. Progress Reports, 250/Pack (20432RL) | Medical Arts Press Anesthesia Record, 125/Pack (13877) | Medical Arts Press Dental Initial Exam Chart; Rainbow FormFamily (10007) |
|---|---|---|---|---|---|
Your product Medical Arts Press Dental Registration and Medical History Form, Spanish (20586) Price is $25.59 Out of Stock |  Price is $20.99 |  Price is $19.49 |  Price is $16.09 |  Price is $21.59 | |
| Delivery Information | Data not available | Delivery by Mon, Nov 10 | Delivery by Mon, Nov 10 | Delivery by Mon, Nov 10 | Delivery by Mon, Nov 10 |
| Available in my store | No | No | No | No | No |
| Medical Form Type | Dental Claims | Medical Records Folders | Medical Records Folders | Veterinary | Medical Records Folders |
| Medical Form Pack Size | 250 | 100 | 250 | 125 | 100 |
| Print Type | Continuous | Continuous | Continuous | Continuous | Continuous |
| True Color | White | White | White | Data not available | Rainbow |
| Length in Inches | 11 | 11 | Data not available | Data not available | 11 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | Data not available | 8 1 / 2" x 11" |
| Width in Inches | 8.5 | 8.5 | Data not available | Data not available | 8.5 |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Price is $16.79
Unit of measure 100/Pack
Delivery by Tue, Nov 11
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Unit of measure 250/Box
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