Medical Institution Referral Letter, Medical Information Provision Form, 2-Part Carbonless Copy, B5 Size, For Chiropractic Clinics, Osteopathic Clinics, Acupuncture Clinics

This is a convenient 2-part carbonless referral form (medical information transfer sheet) used by osteopathic clinics, chiropractic clinics, acupuncture clinics, etc., when referring patients to other facilities.

■ Product Details
? Size: B5 (182 x 257mm)
? Quantity: 50 sets (1 book)

■ Condition
This item is unused. However, due to the nature of carbonless paper, there may be some areas with blue transfer marks (transfer traces) caused by overlapping or pressure during storage.
(Please check the photos for condition.)
This does not affect practical use, but please only purchase if you understand and accept the above.