https://www.staples-3p.com/s7/is/image/Staples/m002246542_sc7
Medical Arts Press Log of Hospital Visits, Pocket-Sized, 2-Part
$46.89
  • Updated with New 2010 Consult Codes and Helpful Chart on Inside Front Cover
  • Make A Check Mark Or Write In The Level Of Code for Each Patient Visit
  • When Patient Is Discharged, Detach and Give to Billing - It S Virtually Foolproof

Medical Arts Press Log of Hospital Visits, Pocket-Sized, 2-Part

Item #: 540751Model #: 20029
Final price is $46.89
10/pack

Free Returns

Online. In store. Always free.

Learn More

  • About this product

    Medical Arts Press Pocket-Sized Log of Hospital Visits - Feature helpful charts on the inside cover

    Medical Arts Press Pocket-Sized Log of Hospital Visits allow you to check mark or write the level code for each patient. They feature helpful charts on the inside cover and are available in 25/book.

    • Updated with New 2010 Consult Codes and Helpful Chart on Inside Front Cover
    • Make A Check Mark Or Write In The Level Of Code for Each Patient Visit
    • When Patient Is Discharged, Detach and Give to Billing - It S Virtually Foolproof
    • 25 Forms/25 Carbonless Copies/Book
    • Log Size: 6.5 x 3.37 inch, Form Size: 5.75 x 3.37 inch
    Specifications table
    Attribute nameAttribute value
    Medical Form Type Privacy Sign-In Sheets
    Number of Parts 2
    Length in Inches 3.37
    Medical Form Pack Size 25
    Width in Inches
    5.75
    Form Size
    5.75" x 3.37"
    True Color
    White
    Pack Qty 10
    Series or Collection
    Log of Hospital Visits

    Compare similar items

    Product specifications table
    Attributes Medical Arts Press Log of Hospital Visits, Pocket-Sized, 2-Part Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041) Medical Arts Press® Dental Treatment Consent Form; 1-Sided
    Your product
    Price is $46.89
    Out of Stock
    Reviews
    No reviews yet
    No reviews yet
    Delivery Information
    Data not available
    Free delivery by Fri, Jun 05
    Delivery by Wed, May 27
    Available in my store
    No
    No
    No
    Medical Form Type
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Consent
    Length in Inches
    3.37
    11.625
    11
    Medical Form Pack Size
    25
    125
    250
    Width in Inches
    5.75
    8.5
    8.5
    Form Size
    5.75" x 3.37"
    8.5" x 11.625"
    8 1 / 2" x 11"
    True Color
    White
    Burgundy
    White
    Number of Parts
    2
    3
    Data not available
    Pack Qty
    10
    125
    Data not available
    Series or Collection
    Log of Hospital Visits
    Confidential Sign-In Forms
    Data not available
    Add To Cart
    Add To Cart