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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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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 1000/Pack Price per unit $0.01/Paper Clip
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| Attributes | Medical Arts Press Health History Patient Care Form, Green FormFamily (20378) | Medical Arts Press Dental Registration and Medical History Form, Spanish (20586) | Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039) | Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008) | Medical Arts Press Continuation Notes (20132) |
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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 $24.91 |  Price is $20.99 |  Price is $21.59 | Price is $29.99 | |
| Reviews | |||||
| Delivery Information | Data not available | Delivery by Wed, Jul 23 | Delivery by Wed, Jul 23 | Delivery by Wed, Jul 23 | Delivery by Wed, Jul 23 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 250 | 250 | 100 | 100 | 500 |
| Print Type | Continuous | Continuous | Continuous | Continuous | Continuous |
| Medical Form Type | Medical Records Folders | Dental Claims | Medical Records Folders | Medical Records Folders | Medical Records Folders |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" |
| True Color | White | White | White | Rainbow | Yellow |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Price is $20.79
Unit of measure 50/Pack
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Unit of measure 100/Pack
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