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Medical Arts Press® Tamper-Resistant Laser Rx Paper; 4 RX Blanks/Sheet, High Security
Item #: 901-83406
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Medical Arts Press® Treatment Notes, Tooth Diagram, Non-Imprinted, No Punch
Item #: 901-21150NP
Set per pack (uom): 250 per pack
Size: 8 1/2" x 11"
Dental exam chart format
$43.99
1-3 pack
Save 13%
$37.99
4+ pack
Solid Color Laser Statements; Style B, with Credit Card Information, Blue
Item #: 901-33176A
Credit Card Alert Helps Speed Payment - Visa & Mastercard only
Includes Patient Update
Easy-Tear Perforation Is 3.68" From top for Removal Of White Payment Stub
$42.99
Per pack
Medical Arts Press® Pet Treatment Records, Feline, No Punch
Item #: 901-20563NP
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$55.99
1-3 pack
Save 3%
$53.99
4+ pack
Medical Arts Press® Registration Form; Smile Team™
Item #: 901-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$60.99
1 pack
Save 8%
$55.99
2+ pack
Medical Arts Press® Welcome/Registration Forms/Dog and Cat Cartoon/Welcome
Item #: 901-35144
Appealing full-color forms with client-pleasing, pet-oriented designs extend a warm and friendly welcome
The comprehensive registration form gathers important information to help you provide the best possible care for each pet
Each design includes a current problems or symptoms section and vaccination record
$59.99
1 pack
Save 3%
$57.99
2+ pack
Medical Arts Press® Progress Notes, Horizontal and Vertical ID, Ivory
Item #: 901-20121NP
Type of form: Progress note
250 per pack
Size: 8 1/4" x 10 3/4"
$56.99
1-3 pack
Save 14%
$48.99
4+ pack
Medical Arts Press® Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
Item #: 901-20582NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$50.99
1-3 pack
Save 3%
$48.99
4+ pack
Medical Arts Press® Eye Care Registration Form, Numbered Sections
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$56.99
1-3 pack
Save 21%
$44.99
4+ pack
Medical Arts Press® Dental Treatment Consent Form; 1-Sided
Item #: 901-20606
Provides your patient complete information about their treatment and its risks
Obtains written consent for your records
Just check off applicable conditions; patient reads explanation, initials and signs
$40.99
1 pack
Save 9%
$36.99
2+ pack
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 508/Pack (19906C)
Item #: 901-19906C
Perforation Is 3-11/16 From top Of Statement
Back Print Includes Area For Updating Patient Information to Help Keep Files Current
Size: 8.5 x 11 inch
$43.99
Per pack
Medical Arts Press® Copy-Proof Rx Blanks; Carbonless Duplicate Books
Item #: 901-16019
6 security features comply with CMS 10/1/08 Tamper Resistant Requirements for Medicaid
Copy-proof Rx blanks feature a blue pattern background; "void" pantograph appears when copied
Micro-print signature line helps prevent counterfeiting and states security when viewed through a magnifying glass; security band lists security features
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Patient Information, Orange
Item #: 901-30583
Orange tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$7.99
1-4 pack
Save 5%
$7.59
5+ pack
Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet
Item #: 901-15143
Colorful, user-friendly format
Combines thorough patient registration with specialized podiatric health history
Features personal and insurance information sections that enable you to set up your patient s account with ease
$44.99
1 pack
Save 4%
$42.99
2+ pack
Solid Color Laser Statements; Style B, with Credit Card Information, Teal
Item #: 901-33176D
Credit card alert helps speed payment - VISA and MasterCard only
Includes patient update
Easy-tear perforation is 3-11/16" from top for removal of white payment stub
$42.99
Per pack
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Item #: 901-30580
Light green tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$7.99
1-4 pack
Save 5%
$7.59
5+ pack
Medical Arts Press® Welcome Registration Form, Paw Print in Middle
Item #: 901-20630
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$41.99
1-3 pack
Save 4%
$39.99
4+ pack
Solid Color Laser Statements, Style D, without Credit Card Information, Purple
Item #: 901-30465C
Solid Color Style D Purple without Credit Card Information Laser Statements
Size: 8.5 X 11 inch
500/Package
$38.99
Per pack
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 510/Pack (19906B)
Item #: 901-19906B
Features Visa, Mastercard, Discover & American Express Logos
Easy-Tear Perforation Allows Top To Be Detached & Returned with Payment
Perforation Is 3.68 From top Of Statement
$41.99
Per pack
Medical Arts Press® Podiatry Registration and History Form, Teal, No Punch
Item #: 901-20590NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$50.99
1 pack
Save 11%
$44.99
2+ pack
Medical Arts Press® FormFamily™ Periodontal Exam Form
Item #: 901-20607
Type of form: Periodontal exam form
250 per pack
Size: 8 1/2" x 11"
$46.99
1 pack
Save 8%
$42.99
2+ pack
Medical Arts Press® Log of Hospital Visits; Pocket-sized, 1-Part
Item #: 901-20030
Updated with new 2010 consult codes and helpful chart on inside front cover
Make a check mark or write in the level of code for each patient visit
When patient is discharged, detach and give to billing - it's virtually foolproof
$64.99
1 pack
Save 3%
$62.99
2+ pack
Solid Color Laser Statements; Style A, with Credit Card Information, Teal
Item #: 901-30471A
Light Teal Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3-11/16 From top Of Sheet
$42.99
Per pack
Medical Arts Press® Patient Registration and History Form
Item #: 901-39071
Easy-to-complete form guides patient to insert complete Medical History
Special sections alert Dentist to certain diagnoses and medication history requiring medical clearance
Use with every patient on initial visit. Here are some of the form s features:
$79.99
1 pack
Save 7%
$73.99
2+ pack