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Adams 2-Part Carbonless Purchase Requisitions, 8.44"L x 5.56"W, 50 Sets/Book, 10/Box (DC5831-10)
Item #: 901-DC583110
Keep a bound copy for a permanent record using this purchase requisitions
Business form size: 8.44"L x 5.56"W; detached form size: 7.94"L x 5.56"W
2-Part Carbonless forms for accurate record keeping
$72.99
1-3 pack
Save 4%
$69.99
4+ pack
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Medical Arts Press® Consent Form, Dental Treatment, Bilingual
Item #: 901-21153
Size: 8 1/2" x 11"
Paper color: White
Number of parts: 1
$53.99
1-3 pack
Save 14%
$45.99
4+ pack
Staples 13 Columns Columnar Book, 16.31"W x 11"H, Green (217893)
Item #: 901-217893
Green tinted paper
Includes 50 single-format pages with 13 columns
Overall dimensions: 16.31"W x 11"H
$16.59
1-4 each
Save 4%
$15.79
5+ each
TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)
Item #: 901-309934
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 500 forms per package
$72.99
1-3 pack
Save 4%
$69.99
4+ pack
TOPS 3-Part Carbonless Receiving Records, 5.56"W x 7.94"L, 50 Sets/Book (46260)
Item #: 901-388385
Keep record of all the deliveries you have received with this receiving record book
Form size: 5.56"W x 7.94"L
3-Part Carbonless forms for accurate record keeping
$15.79
1-7 box
Save 5%
$14.99
8+ box
ComplyRight 1-Part Continuous CMS-1500 Health Insurance Claim Form (02/12), 2,500/Pack (CMS121)
Item #: 901-125542
8 1/2" x 11"
20 lb.
White
$102.99
Per box
ComplyRight Payroll Change Notice, 3-Part, Small, Pack of 50 (A2173)
Item #: 901-2548966
Includes ComplyRight™ tips for optimal, compliant use
Size: 5.5" x 8.5"
Pack of 50 forms
$103.99
Per each
Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
$21.99
1-3 pack
Save 4%
$20.99
4+ pack
Rediform Driver's Daily Log Book, 2 Part Carbon, 5 1/2" x 7 7/8", 31 Sets per Book
Item #: 901-421004
31 sets per book
2 part
Handy book format provides space to record off-duty, sleeper berth, driving and on-duty time
$6.69
1-7 each
Save 2%
$6.49
8+ each
TOPS Job 3-Part Carbonless Work Orders, 8.62"L x 5.67"W, 50 Sets/Book (3868)
Item #: 901-3868
Job work-order forms designed to provide a space for work, costs, and totals
Business-form size: 8.62"L x 5.67"W
3-Part Carbonless forms for accurate record keeping
$30.99
1-4 pack
Save 3%
$29.99
5+ pack
Medical Arts Press® Copy-Proof Rx Blanks, Single Sheet Pads
Item #: 901-16015
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
TOPS Credit Card Sales 3-Part Carbonless Receipt, 3.25"L x 7.88"W, 100/Pack (TOP 38538)
Item #: 901-810999
Triplicate Credit Card Sales Slips are made with carbonless paper to protect your customers; no carbon tissues containing credit card information to worry about
Size: 3.25"L x 7.88"W
Features a carbonless 3-part format and comes in white
$28.99
1-4 pack
Save 3%
$27.99
5+ pack
Rediform Gold Standard 2-Part Carbonless Receipts Book, 5"L x 2.75"W, 225 Forms/Book (8L829)
Item #: 901-8L829
Receipt book is consecutively numbered for easy organization
Business form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
$26.99
Per each
Medical Arts Press® Dental Treatment Record Form; 2-Sided
Item #: 901-20608
Ideal for practices that prefer not to record fees on their treatment notes
Form includes basic patient information
Two-sided with back of form ruled
$46.99
1-3 pack
Save 4%
$44.99
4+ pack
Adams Receipt Book, 7.19"W x 2.75"L, White/Canary, 250 Sets/Pack (DC2701)
Item #: 901-266890
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7.19"W; detached: 2.75"L x 6.69"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$16.59
1-4 pack
Save 4%
$15.79
5+ pack
Adams® Sales Order Book, Ruled, 2-Part, 4 3/16" x 7 3/16"
Item #: 901-196097
50 forms
1 form per page
2-part; carbonless; White originals, Canary duplicates
$7.99
1-6 each
Save 5%
$7.59
7+ each
Medical Arts Press® Replacement Day Sheet Forms; Bond, Format S1, 50 Forms/Pack (WJM11)
Item #: 901-20527
Replacement day sheet forms
Number of parts: One
50/Pack
$33.99
2+ pack
ComplyRight 1-Part Personnel Folder, 25/Pack (A223)
Item #: 901-1949180
Personnel folder keeps quick information on the outside and confidential records on the inside
One-part personnel folder
Contains 25 folders per package
$87.99
Per each
Wilson Jones Ledger Paper, 8.5" x 11", Ivory, 100 Sheets/Box (W901-10)
Item #: 901-42979
Designed for use in minute books, plain ledger sheets are long-lasting and versatile
Includes 28 lbs. ivory paper sheets
Includes 100 unruled, unnumbered sheets per box
$133.99
Per box
Adams 3-Part Carbonless Packing Slips, 7.94"L x 5.56"W, 50 Sets/Book (T5082)
Item #: 901-355859
Packing-slip book is a great way to ensure all shipments contain the correct paperwork
Business-form size: 7.94"L x 5.56"W
3-Part Carbonless forms for accurate record keeping
$9.49
1-7 each
Save 5%
$8.99
8+ each
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$49.99
Per pack
Adams 2-Part Carbonless Work Orders, 5.5625" x 8.4375", 10 Sets/Book, /Box (DC5805-10)
Item #: 901-DC580510
Sales orders book to keep accurate records
White pages to create originals and canary pages for copies
Pack of 10.
$106.99
Per pack
Staples® Columnar Books, 100 Pages, Green, 2/Pack (217869)
Item #: 901-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
$20.99
1-3 pack
Save 4%
$19.99
4+ pack