Doctor Stuff - Dentist Office Forms, Dental Medical History Form, Item 27011, 8-1/2" x 11", 100/Package
Product ID: B08HLC69SK
Condition: New
Selected Option: Medical History Letter Size
$ 135
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
Doctor Stuff - Dentist Office Forms, Dental Medical History Form, Item 27011, 8-1/2" x 11", 100/Package
- DETAILED FORM to capture your patient's complete dental and medical history. The easy to fill out form allows you to qucikly collect important information from your patients, including medical and dental condition questions, previous dental treatments, and much more.
- QUICKLY FILE in the patient's dental chart using the two pre-punched holes at the top of the form.
- MEDICAL RECORD COMPATIBLE: This form is designed to work with your medical records system. Form is 8-1/2 in. x 11 in., printed in light blue on both sides and has two holes on the top to fit into patient record. 100 forms per package.
- PERFECTLY ORGANIZED: Our series of dental forms ensure that your practice will have all the necessary documentation needed to capture important patient information while following HIPAA guidelines. These forms help create an easy and effective filing system for office and patient chart information.
- COMPATIBLE: This form is compatible with AMZFiling and IFS Filing Item 27011
Technical Specifications
Country
USA
Brand
Doctor Stuff
Manufacturer
Doctor Stuff
PartNumber
PRTCO-FIFS27011-BK
Model
PRTCO-FIFS27011-BK
Color
Blue
Height
0.5
Length
8.5
Width
11
Size
Letter Size
NumberOfItems
100





