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Medical Arts Press® Insurance Assignment Release Pad
Item #: 901-24223
Pad size: 4x5-1/2"
5 pads per pack.
$7.49
5+ pad
Medical Arts Press® Compact Eye Care Registration and History Card
Item #: 901-20020MAP
Type of form: Registration and history card
250 per pack
Size: 5" x 8"
$39.99
1 pack
Save 10%
$35.99
2+ pack
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless- Custom
Item #: 901-13553
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Medical Arts Press® Narrow Ruled Veterinary Animal Record Progress Notes, 250/Pack (20474)
Item #: 901-20474
Form heading includes space for owner s information and animal s identifying information
Top of page reinforced and two-hole punched
Reverse side is printed with Date and Progress Notes column headings
$72.99
1 pack
Save 6%
$67.99
2+ pack
Medical Arts Press® Patient Information Update Form
Item #: 901-39072
Use with every patient
Printed on 24-lb. bond paper
Size: 8-1/2-in. x 11-in
$72.99
1 pack
Save 8%
$66.99
2+ pack
Medical Arts Press® Dental Chart Forms For Adult Patients; Information Update
Item #: 901-32429
Size: 8.5 X 11 inch
Form Printed On 1 Side
100 per package
$20.99
1-3 pack
Save 20%
$16.59
4+ pack
Medical Arts Press® Tamper-Resistant Personalized Laser Rx Paper; Secure
Item #: 901-10719
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Medical Arts Press® Notice of Privacy Practices
Item #: 901-28998
Space At top to Add Practice Name
Describes How Medical Information May Be Used By Office
Identifies Legal Rights and Requirements
$15.59
Per pack
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$24.59
Per pack
MAP® Treatment Notes, 1-Part, Buff, 8 1/2" x 11", 250/Pack
Item #: 901-20262
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$37.99
1-3 pack
Save 5%
$35.99
4+ pack
Medical Arts Press® Progress Notes, Includes Name, Sex, Birthdate and Page Number
Item #: 901-20541NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
$43.99
1-3 pack
Save 15%
$36.99
4+ pack
Medical Arts Press® Medication Log
Item #: 901-21750
Type of form: Medication log
250 per pack
Size: 8 1/2" x 11"
$46.99
1-2 pack
Save 4%
$44.99
3+ pack
Medical Arts Press® Progress Notes Patient Care Form; Green FormFamily™
Item #: 901-20381
Records detailed chronological notes of ongoing patient care for illnesses, treatments and progress
Helps you conform to NCQA & JCAHO guidelines
2-hole punched at top, 5-hole punched on left side
$43.99
1 pack
Save 11%
$38.99
2+ pack
Medical Arts Press® Progress Notes; Purple FormFamily™
Item #: 901-20643
Record detailed chronological notes for ongoing patient care pertaining to illnesses, treatments, and progress
Printed in blue ink on white 24-lb. bond paper
2 Predrilled holes on top and 5 on the side
$49.99
1-3 pack
Save 24%
$37.99
4+ pack
Medical Arts Press® Comprehensive Examination Form
Item #: 901-21700
4-page document records clinical detail from a patient's comprehensive exam
Includes sections to record results from clinical tests
Includes top 25 ortho/neuro tests
$66.99
Per pack
Medical Arts Press® Vehicle Accident Information Form
Item #: 901-20546
Paper color: White
Number of parts: 1
Binding type: Loose
$47.99
Per pack
Medical Arts Press® Dental Registration and Medical History Form, Ledger Stock
Item #: 901-20128MAP
Type of form: Dental registration and medical history form
250 per pack
Size: 8 1/2" x 11"
$53.99
1-3 pack
Save 3%
$51.99
4+ pack
Medical Arts Press® Tamper-Resistant Laser RX Blanks; 1 RX Blank/Sheet, Indiana
Item #: 901-PRES1LIN
Blank Format, Top Left Location
Meets Indiana Requirements
Security Features include: blue void pantograph, security backprinting, reverse Rx symbox, checkboxes
Medical Arts Press® Registration Forms Featuring Updates Section/Two Clear Toothbrushes
Item #: 901-35064
Thorough questions help patients provide complete information on background, insurance, phone numbers, dental and health history, medications, and allergies
Improved forms increase practice efficiency
Captures adolescent patient information: minor check box; school name, address, phone; dependent insurance coverage
$65.99
1-4 pack
Save 4%
$62.99
5+ pack
Medical Arts Press® Continuation Notes, Green
Item #: 901-20133NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$58.99
1-3 pack
Save 3%
$56.99
4+ pack