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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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Final price is $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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Unit of measure 4000/Carton
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Price per unit $2.69/Folder
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Price is $19.99
Unit of measure 100/Box Price per unit $0.20/File Folder
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Unit of measure 5000/Carton
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| Attributes | Medical Arts Press Health History Patient Care Form, Green FormFamily (20378) | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) | Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039) | Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008) | Medical Arts Press S.O.A.P. Progress Reports, 250/Pack (20432RL) |
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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 $33.69 |  Price is $20.99 |  Price is $21.59 |  Price is $18.99 | |
| Reviews | |||||
| Delivery Information | Data not available | Delivery by Mon, Sep 29 | Delivery by Wed, Oct 01 | Delivery by Wed, Oct 01 | Delivery by Wed, Oct 01 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 250 | 250 | 100 | 100 | 250 |
| Print Type | Continuous | Continuous | Continuous | Continuous | Continuous |
| Medical Form Type | Medical Records Folders | Consent | Medical Records Folders | Medical Records Folders | Medical Records Folders |
| Length in Inches | 11 | 11 | 11 | 11 | Data not available |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | Data not available |
| True Color | White | Red and White | White | Rainbow | White |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Unit of measure 500/Box
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