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Obtain complete patient information as well as primary and secondary insurance information for accurate billing
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Printed in blue ink on white 24-lb. bond paper
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Predrilled holes on top and side
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1-sided
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250 forms per pack
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Size: 8-1/2×11″
$44.99 Original price was: $44.99.$29.69Current price is: $29.69.

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