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Description
CMS/HCFA 1500 Claim Form
(1)
English/Spanish Bilingual Patient Sign-In Forms
(1)
English/Spanish Bilingual Patient Sign-In Label Forms
(1)
Patient Sign-in Label Forms
(1)
Color
BLUE
(1)
GREEN
(1)
SALMON
(1)
WHITE / RED
(1)
Size
8-1/2"W x 11"H
(2)
UOM
125/PACK
(1)
250/PACK
(1)
500/PACK
(1)
Healthcare Forms CMS/HCFA 1500 Claim Forms 14540
Item No:
14540
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