TFP Data Systems HCFA Form One Part Laser Cut Sheet - Pack of 250 - CMS12LC250-PK

TFP Data Systems

CMS12LC250-PK

380 In Stock Sold Out 380

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Certain items may require either a prescription, medical license, or a business facility license to process. If your product falls in that category, we will reach out to you to obtain proper documentation.

If you already have a prescription, you may email us at support@healthcareorigin.com along with the order number.

  • Description

    • HCFA NEW 1PT LASER CMS1500

    Item Id 890197
    MF Id# CMS12LC250
    Manufacturer TFP Data Systems
    Country of Origin Unknown
    Application HCFA Form
    Color White
    Material Paper
    Type One Part Laser Cut Sheet
    UNSPSC Code 42142304

    Features

    • New CMS-1500 (02/12)
    • Letter paper size