Has some handwriting of study notes however book is completely usable. This is an English language textbook titled "Insurance Handbook for the Medical Office" by Marilyn Fordney. It is a trade paperback format with 704 pages and measures 10.9in in length and 8.5in in width. The book was published in 2009 by Elsevier-Health Sciences Division in the United States and falls under the subject area of insurance. The author has written this book for adult and further education and it is an intermediate level text. The book is personalized to no one in particular.Acceptable: The book has obvious wear. It may have some damage to the cover, but its integrity is intact. The binding may be slightly damaged, but its integrity is still intact. There may be possible writing in the margins and underlining and highlighting of text, but there are no missing pages or anything that would compromise the legibility or understanding of the text.Please look at our store for unique collectibles and quality vintage items. Read our Seller Feedback and shop with confidence. See all the photos as they are part of the description and show condition . Item pictured is item that you will receive - except when item has a quantity in which item will be in similar condition to item pictured. If Box and paperwork are included with used item it will be included in the photos. Please note that color may vary due to lighting in the photos. Please ask any and all questions BEFORE purchasing. I try to describe as best as I can and all sales are AS IS. We are not experts on any items and all information is to the best of our knowledge. We do offer combined shipping on orders for multiple items. For Combined shipping simply commit to buy then request an invoice prior to making payment. Payment is expected within 5 days. You may ask for additional time otherwise order is Canceled after 5 days if not paid. Please see all photos to help determine Condition * Thank you for looking at our items!!! * We try to respond to all questions and offers as quickly as possible!! * We ship within 1 business day after the payment is received!! * We are always looking for new items each day to list so be sure to follow our store as listings are updated daily!! * Condition of items are based on our opinions!! High Value items will be shipped insured and may require signature on delivery. MR BS 1