Name: Wholesale 👍 Chiropractic Health History &amp; Registration Forms Medical Arts Press® Chiropractic Registration And History Form; Hand ✔️
SKU: 168448
Availability: InStock

Sale!

Original price was: $79.99.Current price is: $54.39.

SKU: 168448 Categories: Accounting & Record Journals, Chiropractic Health History & Registration Forms Tags: Forms & Recordkeeping, Medical Arts Press

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Improved forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness
Also features areas for severity, onset, effect on daily activities, and co
HIPAA-compliant insurance authorization
Accident information alerts to different reimbursement source
Check box for minors and space for school information
Check box for patients in non-married relationships
Flexible patient ID number accommodates social security number, your patient ID system, or health insurance claim number
Occupation, employer name, address and phone; emergency and pharmacy contacts
Printed on 24lb. stock, 125 forms per package, size: 8-1/2×11″

Brand	Medical Arts Press
Chart and Form Type	Standard Patient Registration Form
Charts Paper Weight (Lbs)	24
Color Family	Multicolor
Customizable	No
Height in Inches	11"
Number of Pages	125
Paper Type	Cardstock
Series or Collection	Chiropractic
Speciality Use	Chiropractic
True Color	Multicolor
Used For	Registration and History Form
Width in Inches	8.5"