Medical Arts Press Health History Patient Care Form, Green FormFamily (20378)
$49.79
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- 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
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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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| Attributes | Medical Arts Press Health History Patient Care Form, Green FormFamily (20378) | Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part | Medical Arts Press® Dental Treatment Consent Form; 1-Sided | ||
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Your product Medical Arts Press Health History Patient Care Form, Green FormFamily (20378) Price is $49.79 Out of Stock |  Price is $56.39 |  Price is $20.79 | |||
| Reviews | |||||
| Delivery Information | Data not available | Free delivery by Fri, Feb 20 | Delivery by Tue, Feb 24 | ||
| Available in my store | No | No | No | ||
| Length in Inches | 11 | 3.375 | 11 | ||
| Form Size | 8 1 / 2" x 11" | 5 3 / 4" x 3 3 / 8" | 8 1 / 2" x 11" | ||
| Width in Inches | 8.5 | 5.75 | 8.5 | ||
| Medical Form Pack Size | 250 | Data not available | 250 | ||
| True Color | White | Data not available | White | ||
| Print Type | Continuous | Data not available | Digital | ||
| Medical Form Type | Medical Records Folders | Data not available | Consent | ||
| Add To Cart | Add To Cart |
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