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Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness. Also features areas for severity, onset, effect on daily activities, and co. Flexible patient ID number accommodates social security number, your patient ID system, or health insurance claim number. Full color, printed 2 sides on 24lb. stock. Forms ensure reimbursement, improve risk management and document your clinical process. Check box for minors and space for school information. HIPAA-compliant insurance authorization. Accident information alerts to different reimbursement source. Occupation, employer name, address and phone; emergency and pharmacy contacts. Sold 250 forms per pack