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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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$49.79
250/pack
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Price is $25.99
Price is $20.29
Price is $17.24
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 $27.89
Unit of measure 400/Box
Delivery by Wed, Aug 20
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Over 30
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Unit of measure 18/Box Price per unit $0.98/Soft pod
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Unit of measure 5000/Carton
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Next-Day Delivery by Mon, Aug 18
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Next-Day Delivery by Mon, Aug 18
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Unit of measure 24/Box
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Over 30
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Next-Day Delivery by Mon, Aug 18
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Next-Day Delivery by Mon, Aug 18
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Unit of measure 100/Box Price per unit $0.18/File Folder
Next-Day Delivery by Mon, Aug 18
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Over 30
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Unit of measure 500/Ream
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Unit of measure 1500/Carton
Next-Day Delivery by Mon, Aug 18
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Over 30
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Unit of measure 4000/Carton
Free Next-Day eligible by Mon, Aug 18
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Next-Day Delivery by Mon, Aug 18
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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 $20.99 |  Price is $18.99 |  Price is $21.59 |  Price is $28.49 | |
| Reviews | |||||
| Delivery Information | Data not available | Delivery by Wed, Aug 20 | Delivery by Wed, Aug 20 | Delivery by Wed, Aug 20 | Delivery by Mon, Oct 27 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 250 | 100 | 250 | 100 | 250 |
| Print Type | Continuous | Continuous | Continuous | Continuous | Continuous |
| Medical Form Type | Medical Records Folders | Medical Records Folders | Medical Records Folders | Medical Records Folders | Privacy Practice |
| Length in Inches | 11 | 11 | Data not available | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | Data not available | 8.5 | 8.5 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | 8 1 / 2" x 11" | 8 1 / 2" x 11" |
| True Color | White | White | White | Rainbow | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $79.69
Unit of measure 500/Box
Free delivery by Thu, Aug 21
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Price is $21.19
Unit of measure 50/Pack
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Price is $49.59
Unit of measure 250/Box
Free delivery by Thu, Aug 21
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Price is $18.69
Unit of measure 100/Pack
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Price is $45.49
Unit of measure 50/Pack
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Price is $45.79
Unit of measure 25/Pack
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Price is $21.69
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Price is $20.19
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Over 30
Price is $21.59
Unit of measure 50/Pack
Delivery by Thu, Aug 21
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Price is $306.69
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Price is $17.95
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Over 30
Price is $17.89
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Price is $57.29
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Over 30
Price is $64.19
Unit of measure 50/Pack
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Over 30
Price is $16.79
Unit of measure 100/Pack
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