Sale!
Original price was: $80.99.$55.07Current price is: $55.07.
- Buy with Peace of Mind
- Safe Transactions, Happy Customers
- Shop with Confidence, Pay Safely
- High quality products, low prices.
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Forms ensure reimbursement, improve risk management and document your clinical process
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Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity
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Also includes areas for onset, effect on daily activities, and conditions
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HIPAA-compliant insurance authorization
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Accident information alerts to different reimbursement source
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Check box for minors and space for school information
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Flexible patient ID number accommodates social security number, your patient ID system, or health insurance claim number
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Occupation, employer name, address and phone; emergency and pharmacy contacts
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Full color, Printed 2 sides on 24 lb. stock
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Sold 250 forms per package
| 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 | 250 |
| Paper Type | Cardstock |
| Series or Collection | Chiropractic |
| Speciality Use | Chiropractic |
| True Color | Multicolor |
| Used For | Registration and History Form |
| Width in Inches | 8.5" |
Be the first to review “Buy 🌟 Chiropractic Health History & Registration Forms Medical Arts Press® Chiropractic Registration And History Forms, Holistic Care 😉”
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