Patient Cash Voucher

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$10.85
QuantityPrice
1 – 4$10.85
5 – 9$9.55
10 – 14$8.25
15 +$6.75
SKU: 1284
$10.85
Use Briggs Form 1284 to verify all cash withdrawals from a patients account.

Ask your representative today about custom imprinting this form. A quick, easy, and affordable service to personalize your form!

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5" x 3", green paper, black ink, padded in 100s.

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