Comprehensive Health History and Physical Exam Forms (Model # IH19-99204)
- 100 Comprehensive Health History and Physical Exam Forms/Package
- Four-page form designed to comply with CMS documentation requirements
- Captures detailed information including past family and medical history, hospitalizations, allergies, medications, problems, travel, immunizations, physical exams, lab results, and treatment plan
- Book style format
- Two-hole punched at the top
- Size: 17″ w x 11″ h (8 1/2″ w x 11″ h when folded)
$50.00
Additional information
| Weight | 2.187 lbs |
|---|
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