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      Medical Clinical Forms
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      Patient Service And Account Records

      Product Highlights

      • Double-sided.
      • Quantity. 250 sheets per box.
      • Quality paper.
      • 32# White bond paper, 8 1/2 x 11".
      • Printed on 2 sides.
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      Price:
      $65.99
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      Item#:20082
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      General Patient Exam Records Letter Style

      Product Highlights

      • Durable 24 lb. buff ledger stock.
      • Medical record formatting on front and back includes columns for dates, visits, findings and account record-keeping.
      • Format: Letter style.
      • Size: 8 1/4" x 10 3/4" standard-sized form.
      • Shrinkwrapped 50 per pack.
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      Price:
      $69.99
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      Item#:H3551
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      Optometry Record Card Two Sided 5" X 8"

      Product Highlights

      • Convenient, two-sided card-style forms for recording patient examinations in complete detail.
      • Heavy white index card stock printed in black ink.
      • Size: 5" X 8".
      • Front side formatted for initial exam, back side for recording subsequent visits.
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      (0)
      Price:
      $60.99
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      Item#:21109
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      Patient Insurance Account Information Labels

      Product Highlights

      • Handy labels!
      • Self-adhesive backing fits neatly on patient files.
      • Quantity: 100 labels per package.
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      Price:
      $38.99
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      Item#:6250
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      Chiropractic Exam Records Spinal Diagram Card File Fold

      Product Highlights

      • Keep accurate notes!
      • Provides full sheet space to write but fits easily into card drawer.
      • Back provides space for visit & treatment notes, along with account record columns.
      • Quick reference!
      • When record is folded, patient's name is always visible for quick reference.
      • Format: Folds to 5" x 8" card stock format.
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      Price:
      $77.99
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      Item#:C750
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      Continuation Exam Records Folder Style

      Product Highlights

      • Double-sided forms printed with identical formatting on both sides in black ink.
      • Please note: Account record not included.
      • Durable 24 lb. buff ledger stock.
      • Size: 9 1/2" x 8"; folds to 5" x 8".
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      Price:
      $31.99
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      Item#:H11590
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      Supplemental & Treatment Notes Two Hole Punch

      Product Highlights

      • Hole format: Formatted for 2-hole punch.
      • Color format: Printed on white ledger stock.
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      (0)
      Price:
      $69.99
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      Item#:20001V
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      General Patient Exam Records Folder Style

      Product Highlights

      • Please note: Account record not included.
      • Durable 24 lb. buff ledger stock.
      • Size: 9 1/2" x 8"; folds to 5" x 8".
      • Medical record formatting on front and back includes columns for dates, visits, findings and account record-keeping.
      • Format: Folder style.
      • When folded, patient name is visible at top for easy locating.
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      Price:
      $64.99
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      Item#:H356
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      Podiatry Exam Record Form Without Account Record

      Product Highlights

      • Durable!
      • Made of sturdy buff ledger stock.
      • Double-sided forms.
      • Two sided format with left and right foot diagrams on front; ruled back to record subsequent visits & findings following initial exam.
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      Price:
      $61.99
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      Item#:P41A
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      Dental Exam Record, Multi-Use

      Product Highlights

      • Blue ink on white bond stock.
      • Back of form features space to list services provided and fees charged for accurate record-keeping and billing.
      • Convenient dental exam forms include adult and primary tooth charts.
      • Quantity: 250 forms per box.
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      Price:
      $88.99
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      Item#:1046
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      Dental Exam Record General

      Product Highlights

      • Convenient dental exam forms include adult and primary tooth charts.
      • Back of form features space to list services provided and fees charged for accurate record-keeping and billing.
      • Blue ink on white bond stock.
      • Features 1-32 numbering for easy referencing.
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      Price:
      $88.99
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      Item#:1047
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      Continuation Exam Records Card Style With Account Record

      Product Highlights

      • Shrinkwrapped 50 per pack.
      • Continuation record card for keeping ongoing patient notes and history after initial card is filled.
      • Black ink on white index stock.
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      (0)
      Price:
      $84.99
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      Item#:1140

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