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Medical Arts Press Health History Patient Care Form, Green FormFamily (20378)
$49.79
  • 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
    Attributes Medical Arts Press Health History Patient Care Form, Green FormFamily (20378) Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008) Medical Arts Press® Dental Treatment Consent Form; 1-Sided
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    Price is $49.79
    Out of Stock
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    Delivery Information
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    Delivery by Mon, Feb 02
    Delivery by Thu, Jan 29
    Available in my store
    No
    No
    No
    Length in Inches
    11
    11
    11
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Width in Inches
    8.5
    8.5
    8.5
    Medical Form Pack Size
    250
    100
    250
    True Color
    White
    Rainbow
    White
    Print Type
    Continuous
    Continuous
    Digital
    Medical Form Type
    Medical Records Folders
    Medical Records Folders
    Consent
    Add To Cart
    Add To Cart
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