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Adams 3-Part Carbonless Sales Orders, 4.19"L x 7.19"W, 50 Sets/Book, 10/Carton (TC4705-10)
Item #: 901-TC470510
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
3-Part Carbonless forms for accurate record keeping
$79.99
1-3 pack
Save 5%
$75.99
4+ pack
Medical Arts Press® Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
$52.99
1 pack
Save 5%
$49.99
2+ pack
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
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
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
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
Item #: 901-CMS12650657
Designed for filing Medicare part B claims as well as claims to commercial insurance companies
Includes the newest NUCC revisions
Printed in red, scannable, OCR ink
$6.49
Per pack
Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish
Item #: 901-20743
HIPAA-compliant insurance authorization
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
$56.99
1-3 pack
Save 3%
$54.99
4+ pack
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4" x 7", 200 Sets/Book (RED8L818)
Item #: 901-864876
Duplicates print black
NOTE ON NUMBERED FORMS: Sorry, but we are unable to fill requests for a specific number series
Safety tint on original rubs off if erased
$56.99
Per each
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® 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
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
$31.99
2+ pack
$56.99
1-5 pack
Save 3%
$54.99
6+ pack
Medical Arts Press® Veterinary Animal Record Progress Notes, Narrow Ruled
Item #: 901-20475
Type of form: Veterinary progress note
250 per pack
Size: 8 1/2" x 11"
$40.99
1-3 pack
Save 17%
$33.99
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® Tamper-Resistant Laser Rx Paper; 2 RX Blanks/Sheet, High Security
Item #: 901-83401
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
Adams 2-Part Carbonless Invoices, 5.5625" x 8.4375", 50 Sets/Book (DC5840)
Item #: 901-DC5840
Invoice book for keeping financial records of sales
White sheets for originals and canary for copies
Pack of one containing 50 invoices per book
$6.69
1-5 each
Save 2%
$6.49
6+ each
ComplyRight 2024 Attendance Calendar Card, White, Pack of 25 (A4000W25)
Item #: 901-2548993
Calendar format on front of form makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Provides legal "backup" for personnel decisions, such as disciplinary action or termination
$62.99
Per pack
Staples® Columnar Books, 100 Pages, Green, 2/Pack (217851ABF)
Item #: 901-217851
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 5 columns
$15.99
Per pack
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
Adams Receipts Book, 2.75"L x 5.38"W, 50 Sheets/Book, 3/Pack (DC2501-3)
Item #: 901-448239
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$15.79
1-4 pack
Save 5%
$14.99
5+ pack
Wilson Jones Columnar Sheets, Ledger Paper, Ruled, 30 Lines, 20 Columns, Green Paper, 9 1/4" x 11 7/8", 100/Pk
Item #: 901-WG1020A
Double page format
20 columns
100 sheets/pack
$104.99
Per 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
Adams 1-Part Carbonless Receipts, 5"L x 3.5"W, 50 Sets/Book, 12 (9672ABF)
Item #: 901-ABF9672
Petty cash receipt pad is designed for cash payouts
Business form size: 5"L x 3.5"W
Single form for ease of use
$13.59
Per pack
ComplyRight 2024-2025 Academic Attendance Calendar, 50/Pack (A43005015)
Item #: 901-1949178TFP
Features an academic year calendar format (August 1 – July 31) and easy coding system
Comes in a storage file folder with ComplyRight™ tips for optimal, complaint use
3-hole punched
$83.99
Per pack