• Type of form: Patient care form
  • 250 per pack
  • Size: 8 1/2" x 11"

Medical Arts Press Health History Patient Care Form, Green FormFamily (20378)

Item #: 581214Model #: 20378
$49.79
250/pack

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  • About this product

    Combines family history, hospitalizations, current medications and current problems on one form. Helps you conform to NCQA & JCAHO guidelines. Printed both sides in teal ink on white 24-lb. paper. In packages of 250. Form size: 8-1/2x11".

    • Type of form: Patient care form
    • 250 per pack
    • Size: 8 1/2" x 11"
    • Binding type: Loose
    • Number of parts: 1
    • Combines family history, hospitalizations, current medications and current problems on one form
    • Helps to conform NCQA and JCAHO guidelines
    • Printed both sides in teal ink on white 24 lbs. paper

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    Product specifications table
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    Delivery Information
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    Delivery by Wed, Sep 10
    Delivery by Wed, Sep 10
    Delivery by Fri, Nov 14
    Delivery by Wed, Sep 10
    Available in my store
    No
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    Medical Form Pack Size
    250
    250
    100
    250
    250
    Print Type
    Continuous
    Continuous
    Continuous
    Continuous
    Continuous
    Medical Form Type
    Medical Records Folders
    Veterinary
    Medical Records Folders
    Privacy Practice
    Medical Records Folders
    Length in Inches
    11
    3
    11
    11
    Data not available
    Width in Inches
    8.5
    5
    8.5
    8.5
    Data not available
    Form Size
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Data not available
    True Color
    White
    Data not available
    White
    Data not available
    White
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