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Medical Arts Press Replacement Day Sheet Forms; Bond, Format S1 (WJM11)
Item #: 901-20527
Replacementdaysheetforms
Numberofparts:One
50/Pack
$42.99
2+ pack
Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 901-745804
20-lb.ledgergreenpaper
50numberedlines,everyfifthhorizontallineheavilyruledaslineguide
10,000,000unitspercolumn
$79.99
1-3 pack
Save 20%
$63.99
4+ pack
Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530)
Item #: 901-2678550
Confidentiallysigninyourpatientswithguest-checkforms
Business-formsize:11.63"Lx8.5"W
2PartCarbon
$74.99
1-3 pack
Save 9%
$67.99
4+ pack
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
IncludesQRcodeidentifieratthetopoftheformthatsupportsandalignswithIndustryscanningsystems
PrintedwithOCR"dropout"redinkon20lb.paper(pergovernmentregulations)
IncludesnewQRcodeidentifieratthetopoftheformthatsupportsandalignswithIndustryscanningsystems
$78.99
Per carton
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 1 RX Blank/Sheet, High Security, 500/Pack
Item #: 901-83405
SecurityfeaturesexceedindustryguidelinesandmeetallMedicaidrequirements
Voidpantograph-theword"VOID"appearswhenformisphotocopied
Chemicalprotection-stainsorspotsappearwithchemicalalteration
Medical Arts Press® Solid Color Laser Statements, Style D, without Credit Card Information, Blue, 500/Pack (30465A)
Item #: 901-30465A
SolidColorStyleDLaserStatements
Size:8.5X11inch
500/Package
$42.99
1-4 pack
Save 6%
$39.99
5+ pack
Medical Arts Press® Dental Registration and History Form, 250/Pack (20605)
Item #: 901-20605
Formallowsyoutogathercompleteinformationfrompatients
Simpletofilloutwithindividuallynumberedsections
Includessectionsonpatientinformation,insurance,historyandmore
$49.99
Per pack
Adams 3-Part Carbonless Receipt Book, 10.88" x 7.63", 100 Sets/Book (TC1182)
Item #: 901-TC1182
Carbonlesssoft-covermoney/receiptbooksforgeneralreceipts
Originalsarewhiteincolorandcopiesarecanaryandpinkincolorandmadeofsmoothcarbonlesspaperforconvenience
Containsone100-receiptbookperpack
$17.79
Per each
Medical Arts Press® Dental Registration Forms Featuring Updates Section, Unpunched, Sky Blue, 250/Pack (20558)
Item #: 901-20558NP
Typeofform:Dentalregistrationform
250perpack
Size:81/2"x11"
$56.99
Per pack
Delforms® One-Write General Expense Journal Sheets; General Expense, 1-Part
Item #: 901-111021
Nomessycarbonpaper
Eliminatescopyerrorsandsavestime
Sheetsize;25-3/8"x11"
$29.99
1 pack
Save 21%
$23.49
4+ pack
Medical Arts Press® Progress Notes; Reinforced, Top Punched, 250/Pack (20555)
Item #: 901-20555
Providesplentyofroomtorecordpatientprogressandyourfindingsatsubsequentvisits
Recordpatientname,birthdateandgender
Ruledbackside
$79.99
Per pack
Medical Arts Press® Treatment Notes, Tooth Diagram, Non-Imprinted, No Punch
Item #: 901-21150NP
Setperpack(uom):250perpack
Size:81/2"x11"
Dentalexamchartformat
$48.99
Per pack
Featured
Featured
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 901-2678548
Patientsign-inlabelformstosigninyourpatientsconfidentially
Formconsistsofthreeparts:alabelsheet,acarbonsheet,andalogbehindit
125sheetsperpackage
$84.99
Per pack
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
ApprovedbytheNationalUniformClaimCommittee(NUCC);HIPAAcompliant
Thisformwasrevisedtoalignthepaperformwithsomeofthechangesintheelectronichealthcareclaims:Professional(837),005010X222TechnicalReportType3(5010)and005010X222A1TechnicalReportType3(5010A1)
Themostsignificantchangewastheadditionof8diagnosiscodesinfield21
$40.99
Per box
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 901-125557
IncludesQRcodeidentifieratthetopoftheformthatsupportsandalignswithIndustryscanningsystems
PrintedwithOCR"dropout"redinkon20lb.paper(pergovernmentregulations)
IncludesnewQRcodeidentifieratthetopoftheformthatsupportsandalignswithIndustryscanningsystems
$112.99
Per pack
Medical Arts Press® Solid Color Laser Statements; Style A, with Credit Card Information, Blue, 500/Pack (30471D)
Item #: 901-30471D
LightBlueBackgroundonFront
BackIsWhitewithPrintedChangeOfAddress&Visa&MastercardCreditCardPaymentSections
PerforationIs3.68FromtopOfSheet
$45.99
Per pack
Adams® Carbonless Receipt Book, 3" x 8", 2-Part, 200 Sets/Book (SC1182)
Item #: 901-SC1182
Rentreceiptbooksforrecordingmonthlyfinancialpayments
Carbonlesspapercreateswhiteoriginalsandcanaryduplicates
Fourformsperpageand50pages;200formsperbook
$13.59
Per each
Adams 2-Part Carbonless Receipt Book, 5" x 11", 200 Sets/Book (SC1152)
Item #: 901-SC1152
Money/rentreceiptbookforrecordingrentpaymentsandotherpayments
Whiteoriginalsandcanaryduplicatesandmadeofcarbonlesspaper
Contains200receiptsperbook;fourformsperpage
$11.59
1-4 each
Save 5%
$10.99
5+ each
Relizon Chargeable Time Control Journal, 20 Sets/Pack (WCTS4)
Item #: 901-WCTS4
Notimprintable
25preshinglesslips/journalsheet
Usedwithaportablebinder
$142.99
1-5 box
Save 19%
$114.99
6+ box
Medical Arts Press Narrow Ruled Veterinary Animal Record Progress Notes (20474)
Item #: 901-20474
Formheadingincludesspaceforownersinformationandanimalsidentifyinginformation
Topofpagereinforcedandtwo-holepunched
ReversesideisprintedwithDateandProgressNotescolumnheadings
$97.99
1 pack
Save 6%
$91.99
2+ pack
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 901-217844
Columnarbookisidealforaccountingandrecordkeeping
Eye-easegreen-tintedpaper
Includes100single-formatpageswith4columns
$19.79
Per pack
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
IncludesQRcodeidentifieratthetopoftheformthatsupportsandalignswithIndustryscanningsystems
PrintedwithOCR"dropout"redinkon20lb.paper(pergovernmentregulations)
IncludesnewQRcodeidentifieratthetopoftheformthatsupportsandalignswithIndustryscanningsystems
$49.99
Per pack
Medical Arts Press® Pet Treatment Records, Canine, No Punch, 250/Pack (20562NP)
Item #: 901-20562NP
Typeofform:Treatmentrecord
250perpack
Size:81/2"x11"
$55.99
Per pack
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
Formsensurereimbursement,improveriskmanagementanddocumentyourclinicalprocess
Comprehensivecolorformsincludeareasforcompleteregistrationandhistoryinformation,reasonforvisit,typeofpain,siteofpainornumbness
Alsofeaturesareasforseverity,onset,effectondailyactivities,andco
$61.99
1 pack
Save 6%
$57.99
2+ pack