Medical Arts Press® Chiropractic Registration And History Forms, Botanical

Medical Arts Press® Chiropractic Registration And History Forms, Botanical - Image 2

Medical Arts Press® Chiropractic Registration And History Forms, Botanical

$72.99

SKU: 168449 Categories: Medical Forms & Books, Practice Front Desk Supplies Tags: Medical Arts Press, Medical Forms & Books

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Description

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	Binding Type : Loose	Brand : Medical Arts Press	Carbonless : No
Color : Multicolor	Customizable : No	Diversity : Small Business	Form Size : 8-1/2″ x 11″
Form Type : Clinical	Format : Patient Registration Form	Holes Punched : None	Lines : 39
Media Quantity : 250	NCR Paper : No	Number of Parts : 1	Numbered : No
Package Quantity : 250	Personalization : No	Security Features : No	Sheet Size : 8-1/2″ x 11″
Weight : 3.34 lbs. per Pack