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Medical Arts Press Welcome Registration and History Form (20384)
$36.59
  • Type of form: Registration and history form
  • 250 per pack
  • Size: 8 1/2" x 11"

Medical Arts Press Welcome Registration and History Form (20384)

Item #: 540667Model #: 20384
$36.59
250/pack

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  • About this product

    This colorful form creates a warm and friendly first impression. Easy to read and fill out. Includes insurance, family history and medical history sections. Printed both sides on 24-lb. bond. 250 forms per package. Size: 8-1/2x11".

    • Type of form: Registration and history form
    • 250 per pack
    • Size: 8 1/2" x 11"
    • Paper weight: 24 lbs.
    • Binding type: Loose
    • Number of parts: 1
    • Colorful form creates a warm and friendly first impression
    • Easy to read and fill out, includes insurance, family history, and medical history sections
    • Printed both sides on 24 lbs. bond

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    Product specifications table
    Attributes Medical Arts Press Welcome Registration and History Form (20384) ComplyRight HIPAA Patient Consent and Authorization Form (A1350) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) Medical Arts Press® Dental Treatment Consent Form; 1-Sided
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    Price is $36.59
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    4.42
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    Delivery Information
    Data not available
    Free delivery by Mon, Mar 02
    Delivery by Thu, Feb 26
    Delivery by Tue, Feb 24
    Available in my store
    No
    No
    No
    No
    Length in Inches
    11
    11
    11
    11
    Medical Form Type
    Privacy Practice
    Consent
    Health Insurance Claims
    Consent
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    Medical Form Pack Size
    250
    200
    250
    250
    True Color
    White
    White
    White / Red
    White
    Print Type
    Continuous
    Inkjet / Laser
    Laser
    Digital
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
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