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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
$12.99
Per 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® 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
$77.49
Per pack
Medical Arts Press FormFamily Periodontal Exam Form (20607)
Item #: 901-20607
Type of form: Periodontal exam form
250 per pack
Size: 8 1/2" x 11"
$56.29
1 pack
Save 5%
$52.99
2+ pack
Medical Arts Press® Contact Lens Rx Blanks; 2-Part
Item #: 901-15586
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
Option to include customer warning regarding need for periodic eye exams (required in some states)
Black print on white stock
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"
$52.99
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
$48.89
1-3 pack
Save 5%
$45.99
4+ 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
$52.99
1-3 pack
Save 9%
$47.99
4+ pack
$20.59
Per pack
Staples Columnar Book, 50 Pages, Green (217885)
Item #: 901-217885
Columnar book is ideal for accounting and record keeping
Green-tinted paper with green and black lines
Includes 50 pages with 12 columns
$23.09
Per each
Medical Arts Press Narrow Ruled Veterinary Animal Record Progress Notes (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
$103.99
1 pack
Save 5%
$97.99
2+ pack
Medical Arts Press® Dental Registration and Treatment Form, 4-Pages
Item #: 901-20551
Type of form: Registration and treatment form
250 per pack
Size: 8 1/2" x 11"
$76.49
1-3 pack
Save 5%
$71.99
4+ pack
Medical Arts Press 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"
$47.69
Per pack
Medical Arts Press Welcome Registration Form, Eye Graphic
Item #: 901-21783
Type of form: Message sign
Size: 8" x 5"
Message type: Standard
$76.49
1 pack
Save 5%
$71.99
2+ pack
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Blue Marble (18852/26519)
Item #: 901-217976
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$16.89
1-2 each
Save 5%
$15.99
3+ each
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® 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"
$61.59
Per pack
Solid Color Laser Statements; Style A, with Credit Card Information, Purple
Item #: 901-30471C
Light Purple Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$48.99
Per pack
Medical Arts Press® Chiropractic Forms; Travel Card
Item #: 901-21704
Set Up In Popular S.O.A.P. Format of Subjective, Objective, Assessment & Plans
Allows Carryover Of Chief Complaints & Treatment
Printed On Both Sides to Track Up to 20 Visits On One Card
$38.79
1 pack
Save 7%
$35.99
2+ pack
Medical Arts Press® Physical Exam Forms, Green FormFamily™, Top Punched, 250/PK
Item #: 901-20379
Type of form: Physical exam form
250 per pack
Size: 8 1/2" x 11"
$54.19
1 pack
Save 13%
$46.99
2+ pack
Staples® Ledger Book, Black, 150 Sheets/Book (217679)
Item #: 901-217679
This Ledger book provides a profession look while keeping track of all important transactions
Black cover with burgundy spine and corners
150 pages, faintly ruled with margin lines, 33 lines per page
$40.39
1 each
Save 5%
$37.99
2+ each
Medical Arts Press® Consent Form, Dental Treatment, Bilingual, 250/Pack (21153)
Item #: 901-21153
Size: 8 1/2" x 11"
Paper color: White
Number of parts: 1
$57.29
Per pack
Medical Arts Press Progress Notes; Standard 2-Hole Punch (20585RL)
Item #: 901-20585NP
60 lb. stock
For custom punch order item # 20585
250 per package
$90.29
1-3 pack
Save 8%
$82.99
4+ pack
Medical Arts Press® Dental Registration and History Form, English
Item #: 901-20129NP
Type of form: Dental registration and history form
250 per pack
Size: 8 1/2" x 11"
$58.39
Per pack
