Medical Arts Press Health History Patient Care Form, Green FormFamily (20378)~#|#~s0956665_sc7
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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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    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Form Size
    		8 1/2" x 11"
    Width in Inches
    		8.5
    Medical Form Pack Size 250
    True Color
    		White
    Print Type Continuous
    Medical Form Type Medical Records Folders
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    4.8
    4
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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 Tue, Apr 29
    Delivery by Tue, Apr 29
    Delivery by Thu, May 01
    Delivery by Tue, Apr 29
    Delivery by Tue, Apr 29
    Available in my store
    No
    No
    No
    No
    No
    No
    No
    No
    No
    Medical Form Pack Size
    250
    250
    250
    250
    100
    100
    200
    100
    250
    Medical Form Type
    Medical Records Folders
    Consent
    Privacy Practice
    Dental Claims
    Privacy Practice
    Medical Records Folders
    Privacy Practice
    Medical Records Folders
    Medical Records Folders
    Length in Inches
    11
    11
    11
    11
    17
    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"
    11" x 17"
    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
    11
    8.5
    8.5
    8.5
    Data not available
    True Color
    White
    White
    Data not available
    White
    Data not available
    White
    White
    Rainbow
    White
    Print Type
    Continuous
    Digital
    Continuous
    Continuous
    Data not available
    Continuous
    Data not available
    Continuous
    Continuous
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