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Comprehensive form gathers complete insurance information, making it easier for you to process claims
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Friendly “happy teeth” design welcomes patients
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Printed in 2-color on two sides on 24-lb. white bond paper
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250 sheets/pack
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Size: 8-1/2×11″
$59.99 Original price was: $59.99.$45.59Current price is: $45.59.

| Brand | Medical Arts Press |
|---|---|
| Chart and Form Type | Standard Patient Registration Form |
| Charts Paper Weight (Lbs) | 24 |
| Color Family | White |
| Customizable | No |
| Height in Inches | 11" |
| Number of Pages | 250 |
| Paper Type | Bond |
| Series or Collection | Dental |
| Speciality Use | Dental |
| True Color | White/Green |
| Used For | Registration and History Form |
| Width in Inches | 8.5" |
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