Clinical Pads/Slip Logo
year label for clinical pads
Martin Berliner, for clinical pads

CLINICAL FORMS


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I'd be glad to hear from you.
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Martin Berliner, Vice President Sales.
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MEDICAL CLINICAL FORMS
from DRS at
drsforms1@aol.com
or call 1-866-696-0800
Our regulare prices are usually lower then their sale prices.

Medical Clinical Forms
Click on image for clinical forms larger picture

Top Quality - Lowest prices. Personalized included in price. Up to 6 lines
Prices: 10 pads, 20 pads 40 clinical pad/pads one style only. 10 pads $29.95 - 20 Pads $54.00 - 40 Pads $92.00
All pads are full size 4-1/4" x 5-1/2 " - 100 sheets to pad - 1 Part - quality white 20 lb. bond - black ink
certigicate of health clinical pad
clinical pad-professional caree
clinical pad consent to x-ray
clinical pad disability
CERTIFICATE HEALTH #CERTPH-21
PROFESSIONAL CARE #CERT-1
CONSENT TO X-RAY # XR-1
DISABILITY # DC-1
       
DISABILITY CLINICAL PAD
EXCUSE CLINICAL PAD
EXCUSE SLIP CLINICAL PAD
EXCUSE SLIP CLINICAL PADA
DISABILITY # DC-2
EXCUSE SLIP # EX-3
EXCUSE SLIP # EX-4
EXCUSE SLIP # EX-1
       
INSURANCEPAYMENT
INSTRUCTIONS
SPECIAL INSTRUCTIONS
MINOR CHILD
INSURANCE PAYMENT #IPO-1
INSTRUCTIONS # INST-1
SPECIAL INSTRUCTIONS # SP-1
MINOR CHILD CONSENT # MC-1
       
RECORD RELEASE # RECR-2
RETURN TO # RET-2
REPORT FORM # RF-1
REFERRAL TREATMENT # RFT-1
       
CLINICAL PAD
CLINICAL PAD
REFFERAL FOLLOW-UP # RFU-1
RRECORD RELEASE # RR-1
RECORD RELEASE # RRA-1
RECORD TRANSFER # RTR-1
       
CLINICAL PAD CLINICAL PAD    
SIGN IN SLIP # SIS-1
X-RAY RELEASE # XR-1
   
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