Name: Best Sale 🤩 Medical Forms &amp; Books Medical Arts Press® Chiropractic Registration And History Forms, Botanical 🤩
SKU: 168449
Availability: InStock

Sale!

Original price was: $79.99.Current price is: $57.59.

SKU: 168449 Categories: Medical Forms, Medical Forms & Books Tags: Forms & Recordkeeping, Medical Arts Press

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Medical Arts Press Botanical Registration and History Forms – Include a space for recording patient history, reason for visiting and information related to injury
Medical Arts Press Botanical Registration and History Forms are made in compliance with HIPAA standards. They feature a check box for minors along with space for school information.

Improved forms ensure reimbursement, improve risk management and document your clinical process
Areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity, onset, effect on daily activities, constancy and progression of symptoms
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; size: 8-1/2×11″

# Up Per Sheet/Page	1
Lines	39
Security Features	No
Personalization	No
Package Quantity	250
Numbered	No
Number of Parts	1
NCR Paper	No
Media Quantity	250
Holes Punched	None
Binding Type	Loose
Format	Patient Registration Form
Form Type	Clinical
Form Size	8-1/2" x 11"
Diversity	Small Business
Customizable	No
Color	Multicolor
Carbonless	No
Brand	Medical Arts Press
Sheet Size	8-1/2" x 11"