Obtains a medical history and personal, financial and insurance info. Has special sections for Parent info., insurance authorization, and 2 Medical History Updates. Printed in Spanish on 20-lb. bond. 250 sheets per package. Size: 8-1/2x11".
Brand Name: | Medical Arts Press |
Form Size: | 8 1/2" x 11" |
Length in Inches: | 11 |
True Color: | White |
Width in Inches: | 8.5 |