Medical Arts Press Dental Registration and Medical History Form, Spanish (20586)
$31.99
Per pack
Medical Arts Press Dental Registration and Medical History Form, Spanish (20586)
Item #:
369-20586
Model #:
20586
Brand:
Medical Arts Press
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Medical Arts Press Dental Registration and Medical History Form, Spanish (20586)
Limited quantity available: 15 remaining
Frequently bought together
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Item #: 369-20586
$31.99
Per pack
$31.99
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Total
$102.20
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Description
Obtains a medical history and personal, financial and insurance info. Has special sections for Parent info., insurance authorization, and 2 Medical History Updates. Printed in Spanish on 20-lb. bond. 250 sheets per package. Size: 8-1/2x11".
- Type of form: Dental registration and medical history form
- 250 per pack
- Size: 8 1/2" x 11"
- Paper weight: 24 lbs.
- Binding type: Loose
- Number of parts: 1
- Obtains a medical history and personal, financial and insurance info
- Has special sections for parent info
- Insurance authorization and 2 medical history updates
- Printed on 24 lbs. white ledger stock
Specifications
Brand
Medical Arts Press
Form Size
8 1/2" x 11"
Length in Inches
11
True Color
White
Width in Inches
8.5
