Medical Arts Press Health History Form, English (21758RL)~#|#~s0994986_sc7
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  • Type of form: Health history form
  • 250 per pack
  • Size: 8 1/2" x 11"
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Medical Arts Press Health History Form, English (21758RL)

Item #: 531458Model #: 21758RL
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    • Details

    About this product

    Features family history, hospitalizations, current medications and allergies.

    • Type of form: Health history form
    • 250 per pack
    • Size: 8 1/2" x 11"
    • Binding type: Loose
    • Number of parts: 1
    • Easy check off boxes for symptoms and conditions
    • 2-sided form

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    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Medical Form Type Privacy Practice
    Form Size
    		8 1/2" x 11"
    Width in Inches
    		8.5
    Medical Form Pack Size 250
    True Color
    		White
    Print Type Continuous
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    Product specifications table
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    Delivery Information
    Data not available
    Delivery by Tue, Apr 29
    Delivery by Tue, Apr 29
    Delivery by Tue, Apr 29
    Delivery by Thu, May 01
    Delivery by Tue, Apr 29
    Available in my store
    No
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Practice
    Dental Claims
    Privacy Practice
    Privacy Practice
    Privacy Practice
    Medical Records Folders
    Medical Form Pack Size
    250
    250
    250
    100
    200
    250
    Length in Inches
    11
    11
    11
    17
    11
    Data not available
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    11" x 17"
    8 1 / 2" x 11"
    Data not available
    Width in Inches
    8.5
    8.5
    8.5
    11
    8.5
    Data not available
    True Color
    White
    White
    Data not available
    Data not available
    White
    White
    Print Type
    Continuous
    Continuous
    Continuous
    Data not available
    Data not available
    Continuous
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