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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
Frequently bought together
Price is $21.19
Unit of measure 100/Box Price per unit $0.21/File Folder
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Unit of measure 10/Pack Price per unit $1.95/Correction Tape
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Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
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Unit of measure 144/Pack Price per unit $0.10/Binder Clip
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Compare similar items
| Attributes | Medical Arts Press Health History Patient Care Form, Green FormFamily (20378) | Medical Arts Press Chiropractic Forms, Travel Card (21704) | Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039) | Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008) | Medical Arts Press® Notice of Privacy Practices |
|---|---|---|---|---|---|
Your product Medical Arts Press Health History Patient Care Form, Green FormFamily (20378) Price is $49.79 Out of Stock | Price is $28.49 |  Price is $20.99 |  Price is $21.59 |  93% off of Medical Arts Press® Notice of Privacy Practices Price is $1.07, Regular Price was $17.49, You save 93% | |
| Reviews | |||||
| Delivery Information | Data not available | Delivery by Thu, May 29 | Delivery by Thu, May 29 | Delivery by Thu, May 29 | Delivery by Thu, May 29 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 250 | 250 | 100 | 100 | 100 |
| Medical Form Type | Medical Records Folders | Privacy Practice | Medical Records Folders | Medical Records Folders | Privacy Practice |
| Print Type | Continuous | Continuous | Continuous | Continuous | Data not available |
| Length in Inches | 11 | 11 | 11 | 11 | 17 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 11" x 17" |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 11 |
| True Color | White | Data not available | White | Rainbow | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Price is $15.59
Unit of measure 10/Pack
Delivery by Fri, May 30
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Unit of measure 50/Pack
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Unit of measure 50/Pack
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Delivery by Wed, Jun 04
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Unit of measure 100/Pack
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Unit of measure 50/Pack
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Unit of measure 100/Pack
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Unit of measure 50/Pack
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Unit of measure 50/Pack
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Unit of measure 250/Pack
Free delivery by Fri, May 30
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